32 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
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 ... Hyperextension injury ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... : Hyperflexion injury ... tender DIP joint ... joint, maintain ... #Orthopedics #MSK
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... indicating SI Joint ... injury dysfunction ... #SIJoint #Joint ... #msk #sports #orthopedics
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 #differential
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... rash) • Primary HIV ... Infectious #JointPain #MSK ... Diagnosis #Algorithm #Orthopedics
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... nodes (PIP joints ... Extrarticular #conditions #joint ... #pain #differential ... #diagnosis #rheumatology
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #physicalexam #msk ... #orthopedics #sports
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular joint ... Acromioclavicular #Joint ... video #sports #msk ... #orthopedics
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 ... Osteomyelitis / Septic Arthritis ... BrighamChiefs #Bone #Joint