13 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
capsule. collateral ligaments ... flexionPIP ... fingertip) • Exam: Pain ... 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 ... #MSK #rheumatology ... #differential #diagnosis
Femoral Head Fracture: Pathogenesis and clinical findings
 • Posterior hip dislocation -> Impaction force from femoral
shearing injury -> Ligaments ... weight-bear • Arthritic ... Leg • Shooting pains ... FemoralHead #Fractures #msk ... #diagnosis #pathophysiology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Pain - Arthritis ... spine, shoulders, hips ... noninflammatory Signs ... #Diagnosis #MSK
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
the elbow on a table ... in 90°-110° of flexion ... ulnotriquetral ligament ... wrist #clinical #video ... #orthopedics #msk
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 >
Rheumatoid arthritis ... poly-articular joint pain ... esp carpal, MCP, PIP ... ulnar drift of fingers ... #symptoms #diagnosis
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
one shown in the video ... may have only pain ... The diagnosis is ... tenosynovitis #msk ... #orthopedics #rheumatology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... swelling, significant pain ... frequent attacks • Arthritis ... • 1 attack + stage ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... episcleritis as well as inner ... purpura: strong sign ... Cryoglobulins • HIV ... #rheumatology #