19 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... prevent radial and ulnar ... Discharge with orthopedic ... #MSK
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
JointHip Dysplasia ... Patella (e.g., Tendon ... Rupture, Dislocation ... Deformity #Limp #MSK ... Diagnosis #Algorithm #Orthopedics
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... • Ligament • Bone ... e.g., congenital hip ... the subchondral bone ... #Pain #MSK #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... , shoulder ... Osteomyelitis / Septic Arthritis
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
acromioclavicular arthritis ... Flex the shoulder ... #ACJoint #shoulder ... clinical #video #sports ... #msk #orthopedics
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
warm, swollen, tender ... for cell count, culture ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
acromioclavicular arthritis ... Flex the shoulder ... #ACJoint #shoulder ... clinical #video #sports ... #msk #orthopedics
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... joint. ... video #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... pollicis brevis tendons ... #physicalexam #sports ... #msk #orthopedics ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
in Rheumatoid arthritis ... tend to bear the ... affects the knee hip ... > Stiffness is short-lived ... Comparison #Versus #MSK