66 results
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... HTO) to correct his ... #Pivot #Shift #PivotShift ... #test #ACL #Knee ... Sports #Ortho #msk
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... The test is positive ... Pace #Maneuver #Test ... #Piriformis #Syndrome ... lumbar #sciatica #msk
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
for Piriformis Syndrome ... Flex the hip ... internally rotate the hip ... #Piriformis #syndrome ... #physicalexam #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Non-bloody: OA, avascular ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Pathology of the Hip ... • Compensatory muscular ... joints • Decr ... • Sacroiliac Joint ... signs #diagnosis #msk
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... For intrinsic vs joint ... joint preventing ... BunnelLittler #Test ... clinical #video #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... e.g., congenital hip ... osteopetrosis, avascular ... #Pain #MSK #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... nociceptors -> Pain with rest ... motion (relieved by rest ... affects the knee hip ... Comparison #Versus #MSK
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 • Recurrent,
Abnormal pathergy test ... , medium-large joints ... ) • Vascular lesions ... and peripheral vascular ... Diagnosis #criteria #rheumatology
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... • Peripheral Vascular ... Marfan's Syndrome ... Dislocated Bone #Vascular ... #JointPain #MSK