17 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 ... trauma (e.g., meniscal ... e.g., congenital hip ... #Pain #MSK #rheumatology
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... medial or lateral joint ... #Knee #Meniscal ... #Injury #Tear #clinical ... #physicalexam #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... in Rheumatoid arthritis ... affects the knee hip ... Comparison #Versus #MSK ... JointPain #Diagnosis #pathophysiology
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Arthritis ... joints • Decr ... • Sacroiliac Joint ... Trendelenburg #Gait #pathophysiology ... signs #diagnosis #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
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... medial or lateral joint ... #Knee #Meniscal ... #Injury #Tear # ... #physicalexam #msk
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
Knee Meniscal Tear ... medial or lateral joint ... #Knee #Meniscal ... #Injury #Tear # ... #physicalexam #msk
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... Injury The patient ... maneuver #Sacroiliac #Joint ... #Injury #SIJoint ... #physicalexam #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... Joint #pain #Differential ... #Diagnosis #MSK ... #rheumatology #