18 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP ... distal to the DIP ... ED Management: Pain ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... down the joint -> Pain ... affects the knee hip ... Comparison #Versus #MSK
Reduction of Anterior Shoulder Dislocation

This young man presented to the ER with a Shoulder Dislocation. He
was in so much pain ... Watch how smoothly his ... Interscalene Nerve Block using ... #physicalexam #msk
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
landed awkwardly coming ... Because we saw him ... injury, we are able ... Here, we show his ... collateral #ligament #msk
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... fingertip) • Exam: Pain ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint Pain ... History: Is the pain ... mainly or only during ... e.g., congenital hip ... #MSK #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint Pain ... spine, shoulders, hips ... taking a shower and moving ... Parvovirus B19 • HIV ... Differential #Diagnosis #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ED Management: Pain ... • If stable ... MH/CCF/CWRU EM ... Orthopedics #Proximal #MSK
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
ED Management: Pain ... reduce if needed (using ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
lies prone on the table ... buttock, if the hip ... , or with pain in ... the back or leg during ... #physicalexam #msk