17 results
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 #differential
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... commonly affects the knee ... hip and L/C-spine ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Lyme), reactive arthritis ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
JointHip Dysplasia ... Legg-Calve-Perthes Disease Knee ... Deformity #Limp #MSK ... #Differential # ... Diagnosis #Algorithm #Orthopedics
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
with temporal arteritis ... /or joint aches ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... diagnosed ON THE X-RAY ... Differential diagnosis ... #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... XR, MRI to dx and ... Osteomyelitis / Septic Arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... spine, shoulders, hips ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
for Hip and Sacroiliac ... foot on the other knee ... or sacroiliac joint ... video #sports #msk ... #orthopedics
FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
for Hip and Sacroiliac ... foot on the other knee ... or sacroiliac joint ... video #sports #msk ... #orthopedics