57 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 ... Like in this case ... #Joint #Pain #MSK ... approach #workup #differential
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Charcot Joint ... Chondromalacia - Joint ... • Charcot Joint ... Intraarticular #MSK
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Chronic Shoulder ... Pain - Differential ... Diagnosis Algorithm ... tests for the AC joint ... #MSK
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Acute Joint Pain ... Fracture, Infectious joint ... See inflammatory joint ... VitaminCD #Mnemonic #MSK ... #diagnosis #Causes
Chronic Diarrhea Differential Diagnosis
 • Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Differential Diagnosis ... surgery - VA Joint ... #Differential # ... Diagnosis #causes
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Diagnosis Algorithm ... Infectious #JointPain #MSK ... #Orthopedics #Causes
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
glenohumeral ligament/joint ... outside of the joint ... the defective joint ... Differential diagnosis ... #diagnosis #msk
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Pain - Differential ... Diagnosis Algorithm ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP joint ... Finger deformity caused ... and tender DIP joint ... #XRay #Diagnosis ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Acute or chronic ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis