119 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
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
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
Shoulder Effusion ... You can ballot and ... posterior glenohumeral joint ... PhysicalExam #msk #sports ... #orthopedics #clinical
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
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
and needs flexed ... positive if there is pain ... Piriformis #Syndrome #clinical ... sciatica #msk #orthopedics ... #sports
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings

 • Primary (Idiopathic): Unknown etiology, but associated
Clinical Findings ... capsule ligaments ... healthy, flexible ligaments ... pain • Incr Shoulder ... painShoulder
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