53 results
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 ... #Management #Hand ... #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
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 ... at MCP joint & ... clinical #video #msk
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
of wrist & MCP joint ... Small muscles of hand ... joint & flexion ... at DIP joint ... Scissors #Nerve #Injury
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 ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Medial Approach Knee ... area to inject and ... osteophytes & narrowed joint ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... Acromioclavicular Joint ... Anterior Medial Thigh Hip ... Femoral Condyle Knee ... #differential #diagnosis
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... of the table, knee ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #physicalexam #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... Acute or chronic infections ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Degenerative joint ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis