28 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... capsule. collateral ligaments ... joint hinge joint ... joint = hinge joint ... fingertip) • Exam: Pain
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
be clinically assessed ... tender DIP joint ... ED Management: Pain ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... flexion at this joint ... to flex at the DIP ... #clinical #video ... #sports #msk #orthopedics
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
interphalangeal joint ... extend at the PIP ... #Hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Boyes' Test - Flexor Digitorum Superficialis Finger Examination

Evaluate the injured finger for flexion.
Inability to flex the
Test - Flexor Digitorum ... metacarpophalangeal joint ... #hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction
Pathogenesis, clinical ... muscle, tendon, ligaments ... and joint capsule ... or bone -> Pain ... symptoms #msk #orthopedics
Low Ankle Sprain: Pathomechanics and Clinical Findings

Grading Ligament Sprains
l: Minimal ligament disruption, mild swelling & tenderness,
Clinical Findings ... to detectable joint ... Severe pain, swelling ... LowAnkleSprain #Sports ... #MSK #orthopedics
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 ... , shoulder ... XR, MRI to dx and
Psoriatic Arthritis: Pathogenesis and Clinical findings

In tendons and connective tissues:
 • Enthesitis  - Pain/tenderness over
Clinical findings ... Enthesitis - Pain ... tenderness over ligament ... , ridging, oil spots ... of IP joints
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... • Tendon • Ligament ... -60 minutes or longer ... e.g., congenital hip ... approach #workup #differential