11 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... be clinically assessed ... terminal extensor tendon ... DIP joint that ... #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... , needs washout! ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... joint. ... #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Infection • ... JointHip Dysplasia ... Patella (e.g., Tendon ... Deformity #Limp #MSK ... #Orthopedics #Causes
Posterior Glenohumeral Joint Shoulder Injection 

Glenohumeral joint injection from posterior approach is easily learned. I do
injection from ... full thickness tear ... #clinical #video ... #rheumatology # ... msk #orthopedics
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... Acute or chronic infections ... e.g., meniscal tears ... e.g., congenital hip ... #Pain #MSK #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
polychondritis, GPA • Ischemic ... Inflammation of ear ... Musculoskeletal System Tender ... nodes (PIP joints ... differential #diagnosis #rheumatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender ... of shoulder and hip ... vesicular eruption • Joints ... Palpable purpura, joint ... Differential #Diagnosis #Rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
: • Purpura, ischemic ... vesicular eruption - Joints ... well as inner ear ... diminished, or tender ... differential #diagnosis #rheumatology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Change in clinical ... echo in the last year ... Intraabdominal - Orthopedic