48 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... exclude Mallet finger ... Discharge with orthpedic ... Management #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... joint hinge joint ... joint = hinge joint ... #MSK
Stenosing Flexor Tenosynovitis or Trigger Finger on Physical Exam

Dr. Sergi Barrera @dr.sergibarrera

#TriggerFinger #Trigger #Finger #Stenosing #flexor
Tenosynovitis or Trigger Finger ... TriggerFinger #Trigger #Finger ... tenosynovitis #msk ... #physicalexam #orthopedics ... #rheumatology
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... joint preventing ... compare 1) Extend finger ... passively flex finger ... clinical #video #msk
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Radial Nerve Fingers ... Median Nerve Fingers ... T1 Ulnar Nerve Hip ... #MuscleGroups #MSK ... #Orthopedics #Neurology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... 3) Number of Joints ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
joint. ... injection lasts longer ... video #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK ... Diagnosis #Algorithm #Orthopedics
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... physicalexam #procedure #msk ... #orthopedics #sports ... #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... -60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology