53 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... = Worry about late ... #Joint #Pain #MSK ... rheumatology #approach #workup
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon) • ED Management ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Wrist X-Ray - point ... prompt outpatient orthopedics ... with associated signs ... WristXRay #Radiology #MSK ... #Orthopedics
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
-99% sensitive and ... Key teaching point ... workup choices ... AND management options ... #Algorithm #Workup
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... hydroxyapatite) • Calcium oxalate ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... can't make A-OK sign ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction
of the shoulder joint ... joint capsule = ... #Dislocation #Diagnosis ... #signs #symptoms ... #msk #orthopedics
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
- Differential Diagnosis ... Osgood-Schlatter Disease ... Pain, Iliotiibial Band ... Intraarticular #MSK ... #Algorithm #Orthopedics
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Widening of the MTP joint ... for secondary signs ... Unstable 2nd MTP joint ... #msk