54 results
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... medial or lateral joint ... Meniscal #Injury #Tear ... #clinical #video ... #physicalexam #msk
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Supraspinatus Tear ... supraspinatus muscle tear ... 30 degrees, and point ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... joint preventing ... BunnelLittler #Test ... PhysicalExam #clinical #video ... #msk #PIP
Supine Napoleon Test for Subscapularis Tear

The patient is instructed to place his hand on his belly
Subscapularis Tear ... (normal) if they ... Subscapularis #Tear ... #clinical #video ... physicalexam #shoulder #msk
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... a chronic ACL tear ... HTO) to correct his ... ACLTear #clinical #video ... Sports #Ortho #msk
Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Lachman test in ... a chronic ACL tear ... HTO) to correct his ... ACLTear #clinical #video ... cruciate #ligament #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... e.g., meniscal tears ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... motion (relieved by rest ... tend to bear the ... affects the knee hip ... Comparison #Versus #MSK
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Elevated ESR, Normal ... muscle weakness • Normal ... CK, Detectable HIV ... Myopathies #myopathy #differential ... diagnosis #comparison #rheumatology