33 results
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Bunnel-Littler PIP ... Joint Test on Physical ... BunnelLittler #Test ... clinical #video #msk ... #PIP
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... enable flexion • PIP ... deformity (if volar PIP ... #Orthopedics #MSK
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
affecting the MCP & PIP ... often affects the DIP ... joints). ... cells at the MCP/PIP ... #msk #arthritis
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... joint, maintain ... free movement of PIP ... joint • Ortho ... #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 ... 3) Number of Joints ... - parvovirus, HIV ... #Joint #Pain #MSK ... rheumatology #approach #workup
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... nociceptors -> Pain with rest ... motion (relieved by rest ... affects the knee hip ... Comparison #Versus #MSK
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... Key teaching point ... Check pregnancy test ... affects diagnostic workup ... #Workup #Endocrinology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Differential Diagnosis Algorithm ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK