13 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... ED Management: Pain ... #Radiology #XRay ... #Diagnosis #Management ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
hinge joint; ROM ... fingertip) • Exam: Pain ... IPJoint #Radiology #XRay ... #Diagnosis #Management ... #MSK
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential ... Diagnosis Algorithm ... Intraarticular #MSK ... #Orthopedics #Causes
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... with joint-space ... ON THE X-RAY! ... Differential diagnosis ... Giant Cell Tumor Tendon
Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction
on axillary x-ray ... capsule or bone -> Pain ... #Dislocation #Diagnosis ... signs #symptoms #msk ... #orthopedics #pathophysiology
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Pain - Differential ... Diagnosis Algorithm ... Monoarticular • Gout ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... #Joint #Pain #MSK ... approach #workup #differential ... #diagnosis #arthritis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... deposition in joints ... swelling, significant pain ... elbows, Achilles tendon ... not possible • Ultrasound
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
may have only pain ... The diagnosis is ... Ultrasound can show ... tenosynovitis #msk ... #physicalexam #orthopedics