29 results
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach ... osteophytes & narrowed joint ... Injection #clinical #video ... #orthopedics #sports ... #rheumatology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... ED Management: Pain ... Finger #Radiology #XRay ... Diagnosis #Management #Hand ... #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 ... IPJoint #Radiology #XRay ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... #differential #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #
Medial Knee Intra-articular Corticosteroid Injection 

Knee injection medial approach -lying w knee flexed. Find post part
injection medial approach ... to find room in joint ... Injection #clinical #video ... #orthopedics #sports ... #rheumatology
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
Lateral Knee Intra-articular Corticosteroid Injection 

Lateral knee IA steroid injection. Hint - the fat pads below
lateral joint spaces ... Injection #clinical #video ... physicalexam #procedure #msk ... #orthopedics #sports ... #rheumatology