39 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... a prosthetic joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... Hyperextension injury ... Diagnosis #Management #Hand ... #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 ... #physicalexam #hip
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
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... For intrinsic vs joint ... joint preventing ... finger at MCP joint ... clinical #video #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... Acute or chronic infections ... e.g., congenital hip ... #Pain #MSK #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Degenerative joint ... Inflammatory Joint ... • Moving the joint ... affects the knee hip ... Comparison #Versus #MSK
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... stabilizes the pelvis and ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #physicalexam #msk
MCP Joint Injection

Injection of 2nd MCP that is swollen and subluxed and approached laterally near the
MCP Joint Injection ... superior part of joint ... Janetbirdope #MCP #Joint ... #video #rheumatology ... #hand #msk
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Corticosteroid Injection ... area to inject and ... osteophytes & narrowed joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology