48 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Diagnosis Algorithm ... 4 tests for the ... AC joint: 1. ... after cross-arm test ... #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Ligament • Bone ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
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 ... 🤳🏽) - Lil Bone ... clinical #video #msk
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... #Joint #Pain #SickleCell ... #diagnosis #causes ... #hematology
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
anterior sacroiliac joint ... indicating SI Joint ... #SIJoint #Joint ... #physicalexam #hip ... #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 ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... disruption (may be bony ... joint, maintain ... joint • Ortho ... #Orthopedics #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... affects the knee hip ... > Stiffness is short-lived ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Charcot Joint ... Chondromalacia - Joint ... • Charcot Joint ... Intraarticular #MSK
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
, joint, and skin ... • Bone and joint ... skeleton-sacroiliac joint ... blockers had the best ... SAPHO #Syndrome #Rheumatology