29 results
McMurray's Test for Meniscal Tear on Knee Examination

The McMurray's test evaluates for meniscal tear.
With the patient
palpate the medial joint ... palpating the lateral joint ... Pain, catching, ... Video via @open_michigan ... #msk #orthopedics
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
McMurray's Test for Meniscal Tear on Knee Examination

With the patient lying supine, the examiner palpates the
palpates the meniscal joint ... Pain, clicking, ... #clinical #video ... #physicalexam #msk ... #orthopedics #sports
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... fingertip) • Exam: Pain ... IPJoint #Radiology #XRay ... #Orthopedics #MSK
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... Injection #clinical #video ... physicalexam #procedure #msk ... #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
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
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