13 results
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Bone Deformity / ... JointHip Dysplasia ... Subluxation) Spine ... #Algorithm #Orthopedics ... #Causes
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
• Finger deformity ... caused by disruption ... tender DIP joint ... Radiology #XRay #Diagnosis ... #Management #Hand
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
typically lasts ... deformity Synovitis ... e.g., congenital hip ... #differential #diagnosis ... #arthritis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Number of Joints ... Like in this case ... - parvovirus, HIV ... #differential #diagnosis
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
Orthopedic Splints ... , Casts, Plasters ... fracture of ankle joint ... of hip and knee ... scoliosis #Splints #Casts
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... Osteomyelitis / Septic Arthritis ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... peripheral vs axial (spine ... , shoulders, hips ... weeks) Can Be Caused ... #Diagnosis #MSK
Great Mimickers - SHALLOTS Mnemonic

S- Syphilis - Neurosyphilis, aortitis, gummas... Granulomas can form anywhere! Skin, mucosa,
Skin, mucosa, joints ... dyspnea, ulcers, arthritis ... just consumption- number ... also rashes, arthritis ... SHALLOTS #Mnemonic #Diagnosis
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials ... fractures: Don't cause ... spinal deformity ... Bilateral facet joints ... #diagnosis #localization
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
and Management ... extrapulmonary cases ... pain at thoracic/lumbar ... segment - "Gibbus deformity ... bacilli to bone/joints