28 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 ... fingertip) • Exam: Pain ... #Hand #Orthopedics ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... : Pain control, ... Discharge with orthpedic ... #Hand #Orthopedics ... #MSK
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
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 #
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
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... • Tendon • Ligament ... e.g., congenital hip ... #Pain #MSK #rheumatology
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 ... Leg • Shooting pains
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 ... diagnosis #causes #hematology
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
metacarpal that has ... carpometacarpal joint ... : Pain control, ... #Hand #Orthopedics ... #MSK
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