41 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
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint hinge joint ... joint = hinge joint ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
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
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
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... joint, maintain ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential ... #diagnosis #arthritis
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... applies passive hip ... maneuver #Sacroiliac #Joint ... #physicalexam #msk ... #orthopedics #sports
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
the most tender spot ... joint. ... video #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
muscle pain and/or joint ... myopathy) VA Joint ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology