84 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder Pain ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... #MSK
Joint Pain - Differential Diagnosis
Articular: Infectious, Degenerative, Inflammatory
Non-articular: Localized, General

#Joint #Pain #Differential #Diagnosis #MSK #algorithm
Joint Pain - Differential ... Localized, General #Joint ... #Pain #Differential ... #Diagnosis #MSK ... #algorithm
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... -> Pain with motion ... affects the knee hip ... Comparison #Versus #MSK
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
the patient's hips ... The test is positive ... if there is pain ... Pace #Maneuver #Test ... lumbar #sciatica #msk
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... joint hinge joint ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Freiberg's Test ... Syndrome Flex the hip ... internally rotate the hip ... Pain in the sciatic ... #physicalexam #msk
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Pain • Viral ... rash) • Primary HIV ... Infectious #JointPain #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... ED Management: Pain ... joint, maintain ... joint • Ortho ... #Orthopedics #MSK
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Piriformis Test ... Rotation) Flex the hip ... internally rotate the hip ... Pain in the sciatic ... #physicalexam #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... present both at rest ... improves quickly with rest ... e.g., congenital hip ... #Pain #MSK #rheumatology