Trochanteric bursa injection in children

Trochanteric bursa injection, which may be multiple, not single as shown, may be made up of triamcinolone acetonide (1 mg/kg of 40 mg/mL suspension, maximum 40 mg) mixed with lidocaine without epinephrine (maximum 4.5 mg/kg, not to exceed 300 mg). After localizing the points of maximum tenderness by deep palpation, a 1.5 to 4 inch needle is used as a probe, and the points of maximum tenderness are determined. The injection should be done by redirecting several places within the same coronal plane close to bone. The operator should not wander off the coronal plane of the maximal bony protuberance in order to be absolutely sure of avoiding neurovascular structures.