42 results
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 ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Degenerative joint ... nociceptors -> Pain ... painful swelling -> Pain ... affects the knee hip ... > Stiffness is short-lived
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... : • Joint • ... categories of joint ... e.g., congenital hip ... #Pain #MSK #rheumatology
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... Diffuse muscle pain ... and/or joint aches ... myopathy) VA Joint ... diagnosis #comparison #rheumatology
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... it reproduces pain ... indicating SI Joint ... #Joint #clinical ... #hip #msk #sports
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... XR, MRI to dx and ... BrighamChiefs #Bone #Joint ... diagnosis #causes #hematology
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
area to inject and ... osteophytes & narrowed joint ... clinical #video #physicalexam ... #orthopedics #sports ... #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... - Autoimmune Rheumatologic ... #Arthritis #Joint ... Diagnosis #MSK #rheumatology
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... SIJ lesion if pain ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #orthopedics #sports
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
disorder of bone, joint ... lesions + Rheumatic pain ... joint involvement ... skeleton-sacroiliac joint ... SAPHO #Syndrome #Rheumatology