41 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
ED Management: Pain ... Mallet #Finger #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 ... fingertip) • Exam: Pain ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... coagulopathy, tumor ... that patient had ... #Joint #Pain #MSK ... #rheumatology #
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
and needs flexed ... positive if there is pain ... clinical #video #physicalexam ... #hip #lumbar #sciatica ... #msk #orthopedics
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
joints • Decr ... • Sacroiliac Joint ... Pain • Valgus ... symptoms #signs #diagnosis ... #msk
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Rotation) Flex the hip ... internally rotate the hip ... Pain in the sciatic ... clinical #video #physicalexam ... #msk #sports #orthopedics
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
• This patient had ... surgeon had a clinical ... PVNS/Giant Cell Tumor ... #diagnosis #msk ... #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... XR, MRI to dx and ... #differential #diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... affects the knee hip ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis