16 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... • Key point: If ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Generally affects long ... BrighamChiefs #Bone #Joint ... #diagnosis #causes ... #hematology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Joint • ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... #Arthritis #Joint ... #pain #Differential ... #Diagnosis #MSK
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... - Differential ... Diagnosis Algorithm ... e.g. fractured long ... Vascular #JointPain #MSK
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
interphalangeal joint ... with joint-space ... Differential diagnosis ... appearance, usually joint ... #msk #rheumatology
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Widening of the MTP joint ... for secondary signs ... Unstable 2nd MTP joint ... Differential diagnosis ... #msk
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... System Tender points ... Extrarticular #conditions #joint ... #pain #differential ... #diagnosis #rheumatology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar joint ... radial-ulnar joint ... will be obvious; signs ... ED Management: Pain ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... most common major joint ... can't make A-OK sign ... Management: Simple, pain ... Orthopedics #Sports #MSK