14 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
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
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #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
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Widening of the MTP joint ... factors include: Short ... for secondary signs ... #msk
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... #Management #Orthopedics ... #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
dislocated major joint ... Most common major joint ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar joint ... will be obvious; signs ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... distal radioulnar joint ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #MSK