71 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... after cross-arm test ... Differential #Diagnosis #Algorithm ... #MSK
Achilles Tendon Rupture in Slow Motion

Dr. Boris Gojanovic @DrSportSante

#Achilles #Tendon #Rupture #SlowMotion #clinical #Video #Sports #Mechanism
Rupture in Slow Motion ... #PhysicalExam #msk
Achilles Tendon Rupture in Slow Motion

Achilles injury in a sprinter.

#Achilles #Tendon #Rupture #clinical #video #physicalexam #orthopedics
Rupture in Slow Motion ... #orthopedics #msk
Shoulder Examination

Step 1 Inspection
Step 2 Palpation (ABCs)
Step 3 Range of Motion and Strength (SITS)
Step 4 Provocative
Step 3 Range of Motion ... 4 Provocative Tests
Achilles Tendon Rupture in Slow Motion

Caused by high speed knee extension with ankle dorsiflexion.

Dr. Boris Gojanovic
Rupture in Slow Motion ... #PhysicalExam #msk
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Sign of Upper motor ... In detecting CT/MRI ... 9.2, LR- 0.09 Best ... test characteristics
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
relieved with motion ... Joint Disease • Motion ... joint -> Pain with motion ... (relieved by rest ... Comparison #Versus #MSK
RICE: Mechanism of Action
Rest (weight bearing or stressful motion discontinued)
Ice (applied to injury)
Compression (wrap applied to
: Mechanism of Action ... Rest (weight bearing ... or stressful motion ... pathophysiology #mechanism #MSK
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Urine Free by LC-MS ... Hormone • MRI ... Syndrome #diagnosis #algorithm
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Limitation of motion ... present both at rest ... and with motion ... or only during motion ... #Joint #Pain #MSK