15 results
Achilles Tendon Rupture - Pathogenesis and clinical findings
 • The Achilles tendon is 15cm long in
Achilles Tendon ... Thompson calf squeeze test ... ) - Pain over ... TendonRupture #diagnosis ... pathophysiology #msk
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS)

Case of the Week! 30 yo M presented
Ruptured Achilles ... Tendon on Point ... of Care Ultrasound ... presented with R calf pain ... #Tear #MSK #Clinical
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... or volar plate rupture ... dislocation, due to rupture ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential Diagnosis ... Rupture • ... e.g„ Myofascial Pain ... Intraarticular #MSK
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
Biceps Tendon Rupture ... and Hematoma on Point ... UE weakness and pain ... Biceps tendon rupture ... #clinical #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... tend to bear the ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... for cell count, culture ... #Joint #Pain #MSK ... #differential #diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... present both at rest ... e.g., meniscal tears ... #Pain #MSK #rheumatology ... #differential #diagnosis
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pain Eyes ... Wilson's disease Pulmonary ... Inflammation of ear ... Musculoskeletal System Tender ... #diagnosis #rheumatology
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
left shoulder pain ... Tender on top of ... Diagnosis? ... POCUS #clinical #ultrasound ... #MSK