26 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... capsule. collateral ligaments ... joint hinge joint ... joint = hinge joint ... #Orthopedics #MSK
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
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 #
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
Femoral Head Fracture: Pathogenesis and clinical findings
 • Posterior hip dislocation -> Impaction force from femoral
• Posterior hip ... wall • Anterior hip ... shearing injury -> Ligaments ... impact onto lateral hip ... FemoralHead #Fractures #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Tendon • Ligament ... -60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
• This patient had ... Therefore, the hand ... surgeon had a clinical ... PVNS/Giant Cell Tumor ... #msk #rheumatology
Thumb Ulnar Collateral Ligament Stress Test

Ulnar collateral ligament testing of the thumb is performed to evaluate
metacarpophalangeal joint ... #Stress #Test #Finger ... #Hand #PhysicalExam ... video #sports #msk ... #orthopedics
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
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