31 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... joint = hinge joint ... tendon), mallet finger ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint preventing ... compare 1) Extend finger ... passively flex finger ... PhysicalExam #clinical #video ... #msk #PIP
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
effusion (Swelling notable ... esp carpal, MCP, PIP ... ulnar drift of fingers ... Extra-articular signs ... pathophysiology #signs
Trousseau's Sign in Hypocalcemia

Trousseau sign of latent tetany is a medical sign observed in patients with
metacarpophalangeal joints ... flex, the DIP and ... PIP joints extend ... , and the fingers ... #PhysicalExam #Video
Approach to Joint Pain

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

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach ... osteophytes & narrowed joint ... Injection #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
joint. ... injection lasts longer ... Injection #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... the edge of the table ... flexion at this joint ... to flex at the DIP ... #sports #msk #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... noninflammatory Signs ... Differential #Diagnosis #MSK ... #rheumatology #