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 ... to do with both hands ... clinical #video #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... disease must be ... -60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
), RA, crystal disease ... Inflammatory, crystalline disease ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
disease Inflammatory ... Joint Disease ... Disease • Motion ... affects the knee hip ... Comparison #Versus #MSK
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... - SLE Neurologic ... Heberden's nodes (DIP ... nodes (PIP joints ... differential #diagnosis #rheumatology
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 ... #Hand #PhysicalExam ... video #sports #msk
Brachial Plexus Lesions - Localization and Presentation

Erb palsy ("waiter's tip"), 
Klumpke palsy, 
Thoracic outlet syndrome, Winged
- Localization and ... palsy ("waiter's tip ... Thoracic outlet syndrome ... , Winged scapula ... Review in Clinical Neurology
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
as follows: the test ... the fingers are ... force, even to the point ... PhysicalExam #Neurology ... #Reflex
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... of the affected joint ... : HIV test, a rubella ... • Sacroiliac joint ... diagnosis #testing #Rheumatology
Boyes' Test - Flexor Digitorum Superficialis Finger Examination

Evaluate the injured finger for flexion.
Inability to flex the
Boyes' Test - Flexor ... Inability to flex ... metacarpophalangeal joint ... #finger #hand # ... video #sports #msk