41 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... Hyperextension injury ... #Management #Hand ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
be clinically assessed ... : Hyperflexion injury ... tender DIP joint ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Small muscles of hand ... at DIP joint ... Scissors #Nerve #Injury ... UpperExtremities #diagnosis ... #neurology
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... passively flex finger ... to do with both hands ... #PhysicalExam #clinical ... #video #msk #PIP
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
simple way to test ... Ask your patient ... (three finger salute ... bobvarkey #Minute #Neurology ... #clinical #video
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
interphalangeal joint ... the edge of the table ... #Finger #Hand # ... PhysicalExam #clinical ... video #sports #msk
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
the edge of the table ... to flex at the DIP ... #Hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... = Worry about late ... - parvovirus, HIV ... #Joint #Pain #MSK ... rheumatology #approach #workup
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
clinical findings ... Chondrodysplasia Neurologic ... joints • Decr ... symptoms #signs #diagnosis ... #msk