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McMurray's Test for Meniscal Tear on Knee Examination

The McMurray's test evaluates for meniscal tear.
With the patient
McMurray's Test ... for Meniscal Tear ... for meniscal tear ... #Test #Meniscal ... clinical #video #msk
McMurray's Test for Meniscal Tear on Knee Examination

With the patient lying supine, the examiner palpates the
McMurray's Test ... for Meniscal Tear ... #Test #Meniscal ... #Tear #Meniscus ... #physicalexam #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... trauma (e.g., meniscal ... tears) • Congenital ... osteopetrosis, avascular ... #Joint #Pain #MSK
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
and diplopia) • Vascular ... pathognomonic laboratory tests ... Positive pathergy test ... is a skin prick test ... Giant retinal tears
Differential Diagnosis of Acute Arthritis

Crystal-induced arthritis: Calcium oxalate, gout, cholesterol, pseudogout, hydroxyapatite crystals

Infectious arthritis: Bacteria, fungi,
Crystal-induced arthritis ... : Behçet syndrome ... : Amyloidosis, avascular ... hyperlipoproteinemia,* meniscal ... tear Systemic
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
and often causes arthritis ... and bullous or vesicular ... • Cogan Syndrome ... well as inner ear ... retinopathy Lab Tests
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Medical history ... determine if stress test ... echo in the last year ... - Peripheral vascular
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
nerve injury (25%) TEST ... Compartment syndrome ... special ligament/meniscus ... >> LINK TO ACL TEARS ... Posterior #Injury #msk