38 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... deformity Synovitis ... to bacterial, fungal ... #Pain #MSK #rheumatology
Jaccoud's Arthropathy on Physical Examination

Deforming non-erosive arthropathy characterized by ulnar deviation of the second to fifth
Examination Deforming ... metacarpophalangeal joint ... RA is a fixed deformity ... Arthropathy, the deformity ... physicalexam #hands #rheumatology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Exam: Pain and deformity ... include swan neck deformity ... ), boutonniere deformity ... mallet finger deformity ... #Orthopedics #MSK
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
the DIP and PIP joints ... the PIP and MCP joints ... • Boutonnière deformity ... • Swan neck deformity ... hand #diagnosis #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... 3) Number of Joints ... Number of Joints ... #Joint #Pain #MSK ... #rheumatology #
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
painful, stiff joints ... interphalangeal joints ... a boutonniére deformity ... Joint involvement ... #Hands #Types #Rheumatology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP joint ... • Finger deformity ... distal to the DIP joint ... and tender DIP joint ... #Orthopedics #MSK
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... Onset • Fungal ... Infectious #JointPain #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Mycobacterial • Fungal ... - Autoimmune Rheumatologic ... tuberculosis) • Fungi ... Differential #Diagnosis #MSK ... #rheumatology #
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology