82 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
spondyloarthropathies, lupus, OA ... or pseudogout, OA ... • Non-bloody: OA ... gonorrhea, Lyme, OA ... #Joint #Pain #MSK
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Thessaly Test for ... Knee Meniscal Tear ... medial or lateral joint ... #Knee #Meniscal ... #physicalexam #msk
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
Joint Disorders ... Differential Diagnosis Algorithm ... Osteoarthritis (OA ... #Disorders #msk ... Differential #Diagnosis #Algorithm
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 ... AC joint: 1. ... after cross-arm test ... #MSK
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
Apley compression (meniscal ... and McMurray (meniscal ... integrity) tests ... McMurray #Drawer #Test ... #msk
Apley Compression Test on Knee Examination

With the patient prone, the knee being tested is flexed to
Apley Compression Test ... indicative of meniscal ... This test is usually ... #meniscal #meniscus ... #orthopedics #msk
Joint Pain - Differential Diagnosis
Articular: Infectious, Degenerative, Inflammatory
Non-articular: Localized, General

#Joint #Pain #Differential #Diagnosis #MSK #algorithm
Joint Pain - Differential ... Localized, General #Joint ... Differential #Diagnosis #MSK ... #algorithm
McMurray's Test for Meniscal Tear on Knee Examination

With the patient lying supine, the examiner palpates the
McMurray's Test ... for Meniscal Tear ... joint line while ... #McMurrays #Test ... #physicalexam #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... nociceptors -> Pain with rest ... motion (relieved by rest ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... present both at rest ... improves quickly with rest ... trauma (e.g., meniscal ... #Pain #MSK #rheumatology