12 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 ... #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 ... -60 minutes or longer ... Calcium oxalate Infectious ... Acute or chronic infections ... #Pain #MSK #rheumatology
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Diagnosis Algorithm Infection ... • Rickets Hip Joint ... Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #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. ... #Effusion #POCUS ... clinical #ultrasound #MSK
CPPD vs Gout

== CPPD == 

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

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... well below hip joint ... lasts longer. ... video #procedure #rheumatology ... #sports #msk #orthopedics
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... frequent attacks • Arthritis ... elbows, Achilles tendon ... Diagnose concomitant infection ... #treatment #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
to exclude are infections ... diminished, or tender ... vesicular eruption • Joints ... Palpable purpura, joint ... Differential #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
vesicular eruption - Joints ... episcleritis as well as inner ... to exclude are infections ... diminished, or tender ... differential #diagnosis #rheumatology