51 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Pain - Differential ... for the AC joint ... after cross-arm test ... #Pain #Differential ... Diagnosis #Algorithm #MSK
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... joint is a positive ... Acromioclavicular #Joint ... #ACJoint #shoulder ... #sports #msk #orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... ligaments (prevent radial ... joint hinge joint ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Acromioclavicular Joint ... Pain at the acromioclavicular ... joint is a positive ... Acromioclavicular #Joint ... #ACJoint #shoulder
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... tender DIP joint ... ED Management: Pain ... joint, maintain ... #Orthopedics #MSK
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
tears of gluteus medius ... • Compensatory muscular ... • Sacroiliac Joint ... Pain • Valgus ... signs #diagnosis #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... e.g., congenital hip ... osteopetrosis, avascular ... #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 ... Avascular necrosis ... common sites: hip ... , shoulder ... BrighamChiefs #Bone #Joint
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... - parvovirus, HIV ... #Joint #Pain #MSK ... approach #workup #differential
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 ... PhysicalExam #clinical #video ... #msk #PIP