8 results
Myositis Ossificans in vastus intermedius on POCUS after trauma - Sagittal View

Young male with MMA injury
Myositis Ossificans ... on POCUS after trauma ... with increased pain ... POCUS #muscle #msk ... #clinical #ultrasound
Myositis Ossificans in vastus intermedius on POCUS after trauma - Transverse View

Young male with MMA injury
Myositis Ossificans ... on POCUS after trauma ... with increased pain ... POCUS #muscle #msk ... #clinical #ultrasound
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Very hard to get out ... Noninflammatory • Trauma ... Crystal induced (Gout ... fever • Lyme • Gout ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
• Fracture • Arthritis ... • Gout/pseudogout ... • Trauma • ... syndrome • Arthritis ... lower #extremity #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... , gout or pseudogout ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... #Joint #Pain #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
and great toe pain-MTP ... No trauma. ... without using ultrasound ... MSU crystals=Gout ... #MSK #Toe
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
swelling, significant pain ... frequent attacks • Arthritis ... not possible • Ultrasound ... Dual-energy CT → MSU ... deposits • Plain
Purulent Ankle Joint on POCUS
Young patient 2 weeks status post ORIF of ankle fracture presents with
presents with ankle pain ... flowing in and out ... to have septic arthritis ... POCUS #clinical #ultrasound ... #msk #infected