17 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
both at rest and ... improves quickly with rest ... trauma (e.g., meniscal ... e.g., congenital hip ... #Pain #MSK #rheumatology
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
• Arthritis ... Chondrodysplasia Neurologic ... Poliomyelitis Activity/ Trauma ... Pain • Valgus ... signs #diagnosis #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
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... - parvovirus, HIV ... #Joint #Pain #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... spine, shoulders, hips ... Noninflammatory • Trauma ... Joint #pain #Differential ... #Diagnosis #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Framework Bone/Joint ... • Fracture • Arthritis ... pseudogout • Trauma ... Herpes zoster - HIV ... lower #extremity #msk
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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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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Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
Sacroiliac Distraction Test ... it reproduces pain ... #SIJoint #Joint ... #physicalexam #hip ... #msk #sports #orthopedics
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