17 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
hinge joint; ROM ... = hinge joint; ... ), mallet finger ... ) • ED Management ... #MSK
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
in the Hands ... Tender, painful ... The fingers may ... #Arthritis #Hands ... #Types #Rheumatology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... tender DIP joint ... fracture • ED Management ... #Hand #Orthopedics ... #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... Lyme), reactive arthritis ... for cell count, culture ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... • Inflammatory arthritis ... -60 minutes or longer ... Noninflammatory arthritis ... #Pain #MSK #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... Therefore, the hand ... Giant Cell Tumor Tendon ... #rheumatology
Biceps Tendon Rupture and Hematoma on Point or Care Ultrasound (POCUS)

Anticoagulated guy bruises to arm and
Biceps Tendon Rupture ... Point or Care Ultrasound ... Biceps tendon rupture ... #POCUS #Ultrasound ... #clinical #MSK
Acromioclavicular (AC) Joint Septic Arthritis on POCUS

IVDU with severe left shoulder pain.  Can fully range
on POCUS IVDU ... Tender on top of ... Culture MRSA. ... This patient had ... clinical #ultrasound #MSK
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
swelling in weird joints ... • Gram stain, culture ... ankles, knees, fingers ... culture- Diagnose ... Gout #Comparison #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... approximately an extended hand ... well below hip joint ... video #procedure #rheumatology ... #sports #msk #orthopedics