37 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... both at rest and ... improves quickly with rest ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... medial or lateral joint ... line pain, locking ... #physicalexam #msk ... #orthopedics #sports
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Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Lyme), reactive arthritis ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... #Joint #Pain #MSK
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... Infectious #JointPain #MSK ... Diagnosis #Algorithm #Orthopedics
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Pain - Differential ... Oligoarticular (1-4 joints ... Inflammatory #JointPain #MSK ... Diagnosis #Algorithm #Orthopedics
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Acute Joint Pain ... Vascular Infectious Trauma ... pain Autoimmune ... VitaminCD #Mnemonic #MSK ... #Orthopedics #differential
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular arthritis ... Pain at the acromioclavicular ... video #sports #msk ... #orthopedics
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Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... -> Pain with motion ... Comparison #Versus #MSK
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Acromioclavicular Joint ... acromioclavicular arthritis ... Pain at the acromioclavicular ... video #sports #msk ... #orthopedics
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Leg Pain - Differential Diagnosis Framework

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