45 results
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... passively flex finger ... at PIP 2) Flex ... BunnelLittler #Test ... clinical #video #msk
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Exam: Swollen and ... tender DIP joint ... ED Management: Pain ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... joint = hinge joint ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Finger ... Small muscles of hand ... adduction) OK Sign - AIN ... at DIP joint ... UpperExtremities #diagnosis #neurology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... -60 minutes or longer ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Internal Rotation) Flex ... the hip to 90 degrees ... internally rotate the hip ... Pain in the sciatic ... #physicalexam #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... that patient had ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Chondrodysplasia Neurologic ... joints • Decr ... • Sacroiliac Joint ... Pain • Valgus ... signs #diagnosis #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... -> Pain with motion ... affects the knee hip ... Comparison #Versus #MSK
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... Inability to flex ... at the DIP may ... #Jersey #Finger ... video #sports #msk