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Achilles Tendon Rupture in Slow Motion

Caused by high speed knee extension with ankle dorsiflexion.

Dr. Boris Gojanovic

Achilles Tendon ... high speed knee extension ... #Achilles #Tendon ... #PhysicalExam #msk

$Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP$

Mallet finger, the extension ... of the terminal extensor ... tendon distal to ... Exam: Swollen and tender ... #Orthopedics #MSK

$Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a$

tendons come together ... tendons attaches ... tendon), mallet ... tendon) • ED ... #Orthopedics #MSK

Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder

Differential Diagnosis Algorithm ... Resisted shoulder extension ... Differential #Diagnosis #Algorithm ... #MSK

Partial tear of subscapularis tendon on POCUS
The partial tear (hypoechoic) area is clearly seen in the

subscapularis tendon ... on POCUS The partial ... subscapularis tendon ... #POCUS #clinical ... #ultrasound #msk

Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
• Myocardial Infarction*
• Cardiac Tamponade*
• CHF
Pleural

Differential Diagnosis Algorithm ... Pneumothorax (Tension ... Differential #Diagnosis #Algorithm

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

Median Nerve Tension ... Neuropathy Elbow extension ... dorsiflexion/finger extension ... Median #Nerve #Tension ... physicalexam #sports #msk

Chronic Joint Pain - Differential Diagnosis Algorithm
Intra-Articular
- Bone
• Stress

Differential Diagnosis Algorithm ... Osgood-Schlatter Disease) - Tendon ... Tendinopathy • Tendon ... Intraarticular #MSK ... Differential #Diagnosis #Algorithm

Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon

Example of 4th wrist extensor ... effusion in the tendon ... Ultrasound Site - MSK ... clinical #ultrasound #msk ... #pocus

Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed. Note small fluid around the

Tenosynovitis on POCUS ... including flexor tendon ... pain on passive extension ... Tenosynovitis #POCUS ... #MSK #clinical

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