57 results
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 ... #Pain #MSK #rheumatology ... approach #workup #differential
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
- Differential Diagnosis ... of Lumbar Spine and ... Erythematosus (SLE), should ... #Disorders #msk ... #Differential #
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Arthritis ... tears of gluteus medius ... joints • Decr ... • Sacroiliac Joint ... signs #diagnosis #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Lyme), reactive arthritis ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential ... #diagnosis #arthritis
Load and Shift Test for Glenohumeral Instability

The load and shift test evaluates for anterior and posterior
Load and Shift Test ... the glenohumeral joint ... #Shoulder #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
acromioclavicular arthritis ... Flex the shoulder ... to 90 degrees and ... #ACJoint #shoulder ... #sports #msk #orthopedics
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Passively adduct the shoulder ... to 30 degrees, and ... point the thumbs ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Load and Shift Test for Glenohumeral Instability

The load and shift test evaluates for anterior and posterior
Load and Shift Test ... the glenohumeral joint ... #Shoulder #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Shoulder Apprehension and Relocation Test

The apprehension and relocation tests evaluate for anterior glenohumeral stability
With the patient
anterior glenohumeral stability ... the glenohumeral joint ... the examiner's hand ... the glenohumeral joint ... #sports #msk #orthopedics
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... to do with both hands ... BunnelLittler #Test ... PhysicalExam #clinical #video ... #msk #PIP