26 results
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... positive if there is medial ... or lateral joint ... line pain, locking ... #physicalexam #msk
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Knee Intra-articular ... osteophytes & narrowed joint ... #Knee #Intraarticular ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... both at rest and ... improves quickly with rest ... #Pain #MSK #rheumatology ... approach #workup #differential
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... Hyperparathyroidism • Facial ... #pain #differential ... #diagnosis #rheumatology
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 ... pain/Night sweats ... Effusions: - Hematologic ... #diagnosis #msk
Medial Knee Intra-articular Corticosteroid Injection 

Injection of medial knee with intra-articular steroid. Find the inferior part
Medial Knee Intra-articular ... Feel joint line ... #Knee #Intraarticular ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Lateral Knee Intra-articular Corticosteroid Injection 

Lateral knee IA steroid injection. Hint - the fat pads below
are right where medial ... and lateral joint ... #Intraarticular ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Lyme), reactive arthritis ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Medial Knee Intra-articular Corticosteroid Injection 

Knee injection medial approach -lying w knee flexed. Find post part
Medial Knee Intra-articular ... to find room in joint ... #Knee #Intraarticular ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... commonly affects the knee ... Comparison #Versus #MSK