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Chb(sa), mfammEd(sa), md, CCfP S cientific documentation on the optimal injection procedure for knee joint injection is sparse. 1 In the absence of a knee effusion, placing the needle precisely into the intraarticular space presents a challenge to cli-nicians. 2 One study showed that about one third of knee injections were extraarticular; another showed that about 90% were extraarticular.fatcat:2sxtmllbajauna5dbj7xyr26yy