24 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... exclude Mallet finger ... • Finger deformity ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint hinge joint ... joint = hinge joint ... tendon), mallet finger ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... compare 1) Extend finger ... passively flex finger ... BunnelLittler #Test ... clinical #video #msk
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Pathogenesis and Joint ... Joint involvement ... esp carpal, MCP, PIP ... can mal-align, ... ulnar drift of fingers
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... nociceptors -> Pain with rest ... motion (relieved by rest ... affects the knee hip ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... -60 minutes or longer ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... flexion at this joint ... to flex at the DIP ... #Jersey #Finger ... video #sports #msk
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
Digitorum Finger ... interphalangeal joint ... extend at the PIP ... #Finger #Hand # ... video #sports #msk
Boyes' Test - Flexor Digitorum Superficialis Finger Examination

Evaluate the injured finger for flexion.
Inability to flex the
Boyes' Test - Flexor ... Superficialis Finger ... metacarpophalangeal joint ... open_michigan #Boyes #Test ... video #sports #msk
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
Sacroiliac Distraction Test ... The test is positive ... #SIJoint #Joint ... #physicalexam #hip ... #msk #sports #orthopedics