34 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Lyme), reactive arthritis ... that patient had ... #Joint #Pain #MSK ... #rheumatology #
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
surrounding the elbow joint ... of blood in the joint ... called the “Sail sign ... trauma #clinical #radiology ... #msk #hemarthrosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... functional deficit and arthritis ... "pooping duck sign ... : Pain control, ... Orthopedics #Sports #MSK
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... Pain Eyes ... Vasculitis (e.g., PAN ... #pain #differential ... #diagnosis #rheumatology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... distal radioulnar joint ... : Pain control ... #Elbow #Radiology ... #Orthopedics #MSK
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... Schönlein purpura • PAN ... #dermatology #joint ... #pain #skin #rashes ... differential #diagnosis #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Disease: • Pain ... Acute or chronic infections ... #Pain #MSK #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis ... noninflammatory Signs ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Wrist X-Ray - point ... , and if plain films ... associated signs ... #WristXRay #Radiology ... #MSK #Orthopedics
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
knees, shoulders Signs ... pain / swelling ... corticosteroid injections ... #diagnosis #management ... #rheumatology