117 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 ... AC joint: 1. ... after cross-arm test ... #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... flexion is limited ... ) If tightness is ... BunnelLittler #Test ... clinical #video #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... cutoff... >10K is ... - parvovirus, HIV ... #Joint #Pain #MSK ... rheumatology #approach #workup
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
Arthritis (RA) is ... hallmark of which is ... often affects the DIP ... cells at the MCP/PIP ... #msk #arthritis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... the dislocation is ... and PIP joints ... joint hinge joint ... #Orthopedics #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... • Inflammation is ... affects the knee hip ... minute -> Stiffness is ... Comparison #Versus #MSK
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
the patient's hips ... The test is positive ... if there is pain ... Pace #Maneuver #Test ... lumbar #sciatica #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
Thomas' Test for ... Thomas' Test ... One hip is maximally ... is positive. ... video #sports #msk
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... joint that is fixed ... joint, maintain ... joint • Ortho ... #Orthopedics #MSK