16 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
capsule. collateral ligaments ... joint hinge joint ... joint = hinge joint ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... • Tendon • Ligament ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
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 ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
esp carpal, MCP, PIP ... ulnar drift of fingers ... Extra-articular signs ... pathophysiology #signs ... #symptoms #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Arthritis Differential Diagnosis ... spine, shoulders, hips ... noninflammatory Signs ... #MSK #rheumatology
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings

 • Primary (Idiopathic): Unknown etiology, but associated
capsule ligaments ... healthy, flexible ligaments ... pathophysiology #diagnosis ... #symptoms #signs ... stages #staging #msk
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
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
Extensor Digitorum Finger ... interphalangeal joint ... the edge of the table ... extend at the PIP ... #sports #msk #orthopedics
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... ankles, knees, fingers ... double contour sign ... • 1 attack + stage ... management #treatment #rheumatology