31 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... Discharge with orthpedic ... Radiology #XRay #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 ... #Management #Hand ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
coagulopathy, tumor ... that patient had ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
approximately an extended hand ... leg well below hip ... joint. ... #sports #msk #orthopedics ... #hip
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
• This patient had ... Therefore, the hand ... Differential diagnosis ... PVNS/Giant Cell Tumor ... #msk #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
predispose to other orthopedic ... common sites: hip ... XR, MRI to dx and ... #diagnosis #causes ... #hematology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... to flex at the DIP ... #Hand #PhysicalExam ... video #sports #msk ... #orthopedics
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
interphalangeal joint ... extend at the PIP ... #Hand #PhysicalExam ... video #sports #msk ... #orthopedics #extensor
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Diagnosis Algorithm ... Osteomalacia • Rickets Hip ... JointHip Dysplasia ... Deformity #Limp #MSK ... #Orthopedics #Causes