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diagnosis clinical radiology rheumatology approach gout knee syndrome ultrasound vasculitis workup ac achilles acromioclavicular ankle anserine bursitis classification comparison complete
Approach to Joint Pain History: Is the pain from: • Joint • Adjacent bursa • Tendon • Ligament • Bone • Muscle • Referred from
Pain History ... Adjacent bursa • Tendon ... e.g., meniscal tears ... #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 ... Inflammation of ear ... Musculoskeletal System Tender ... #pain #differential
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... Lyme), reactive arthritis ... #Joint #Pain #MSK ... approach #workup #differential
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... with joint-space ... Differential diagnosis ... Giant Cell Tumor Tendon
Osgood-Schlatter Disease - MSK Radiology Imaging Findings: • Infrapatellar fat-pad edema with loss of the patellar tendon
Osgood-Schlatter Disease - MSK ... Tibial tuberosity pain ... • MRI is more sensitive ... tibial tuberosity Differential ... tear (similar symptoms
Pes Anserine Bursitis - MSK Radiology Imaging Findings: • T2-hyperintense fluid-like signal along the medial aspect of
Anserine Bursitis - MSK ... the level of the joint ... Differential diagnosis ... similar location of pain ... knee #clinical #mri
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... in Rheumatoid arthritis ... tend to bear the ... Comparison #Versus #MSK
Haglund Syndrome - MSK Radiology Imaging Findings: • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
Haglund Syndrome - MSK ... Partial undersurface tear ... Differential diagnosis ... • Inflammatory Arthritis ... Heel #clinical #mri
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
Trigonum) Syndrome - MSK ... hallucis longus Differential ... syndesmotic ligament tear ... of the achilles tendon ... Radiology #diagnosis #msk
Ruptured Achilles Tendon on Point of Care Ultrasound (POCUS) Case of the Week! 30 yo M presented
on Point of Care ... Ultrasound (POCUS ... presented with R calf pain ... Ruptured #Complete #Tear ... #MSK #Clinical
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