9 results
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 ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
differentiated: • Inflammatory ... e.g., meniscal tears ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Arthritis ... Trauma • Strains/ tears ... Valgus position of knee ... symptoms #signs #diagnosis ... #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Fever/Chills/Joint ... Candidiasis Inflammatory ... - Inflammatory ... #msk #physicalexam
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
 • The iliotibial band (ITB) is thickened with
Friction Syndrome - MSK ... Radiology Imaging ... thickened with no tear ... • Chronic inflammatory ... #diagnosis #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... deposition in joints ... leads to an acute inflammatory ... forefoot, ankles, knees ... frequent attacks • Arthritis
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Check hip and ankle ... joints for associated ... >> LINK TO ACL TEARS ... Posterior #Injury #msk ... #clinical #video