24 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... ED Management: Pain ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... fingertip) • Exam: Pain ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... commonly affects the knee ... hip and L/C-spine ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
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 ... • Differentiate
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... and/or joint aches ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
 • The iliotibial band (ITB) is thickened with
Friction Syndrome - MSK ... Radiology Imaging ... pain with point ... Differential diagnosis ... to knee joint is
Anatomy of the Knee X-ray - AP projection. ⁣⁣
It’s important to be able to identify the
Anatomy of the Knee ... Joint Space - Check ... #xray #clinical ... #ap #radiology ... #msk #orthopedics
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
carpometacarpal joint ... ED Management: Pain ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential