35 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 ... #Joint #Pain #SickleCell ... #diagnosis #causes ... #hematology
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Charcot Joint ... Chondromalacia - Joint ... • Charcot Joint ... Intraarticular #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Ligament • Bone ... the subchondral bone ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Vascular Joint Pain ... - Differential ... Diagnosis Algorithm ... e.g. fractured long ... Vascular #JointPain #MSK
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
(Degenerative Joint ... from bony overgrowth ... Joint involvement ... #Hands #Types #Rheumatology ... #Forms #Diagnosis
Primary Bone Tumors - Differential Diagnosis Algorithm 

Metastatic - Most common tumour in adults
 - Breast
- Differential ... Diagnosis Algorithm ... - Thyroid - Lung ... Tumours #MSK #Differential ... Causes #Oncology #Radiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP joint ... disruption (may be bony ... and tender DIP joint ... #XRay #Diagnosis ... #Orthopedics #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 ... #diagnosis #msk
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
outside of the joint ... the defective joint ... Differential diagnosis ... • Bony Humeral ... #diagnosis #msk