27 results
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach Knee ... osteophytes & narrowed joint ... Janetbirdope #Medial #Knee ... procedure #msk #orthopedics ... #sports #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Heberden's nodes (DIP ... nodes (PIP joints ... #pain #differential ... #diagnosis #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
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 ... Osteomyelitis / Septic Arthritis ... diagnosis #causes #hematology
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential ... Fever/Chills/Joint ... Brucellosis - Viruses: HIV ... Effusions: - Hematologic ... Osteochondroma Hematologic
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Lyme), reactive arthritis ... - parvovirus, HIV ... #rheumatology # ... approach #workup #differential ... #diagnosis #arthritis
Lateral Knee Intra-articular Corticosteroid Injection 

Lateral knee IA steroid injection. Hint - the fat pads below
Lateral Knee Intra-articular ... pads below the knee ... medial and lateral joint ... procedure #msk #orthopedics ... #sports #rheumatology
Lateral Knee Intra-articular Corticosteroid Injection 

Lateral knee injection with knee flexed. Aim towards the center of
Lateral Knee Intra-articular ... injection with knee ... the center of joint ... procedure #msk #orthopedics ... #sports #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... in Rheumatoid arthritis ... commonly affects the knee ... hip and L/C-spine ... > Stiffness is short-lived
The Bulge Sign in Knee Effusion

Highly specific sign for knee joint effusion. 
 - Stroke the
Bulge Sign in Knee ... joint effusion ... aspect of the joint ... physicalexam #msk #orthopedics ... #sports #rheumatology