25 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 ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
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 ... approach #workup #differential
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... in Rheumatoid arthritis ... affects the knee hip ... > Stiffness is short-lived ... Comparison #Versus #MSK
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular arthritis ... acromioclavicular joint ... Acromioclavicular #Joint ... #msk #orthopedics
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
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... Differential diagnosis ... appearance, usually joint
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Pain - Differential ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Acromioclavicular Joint ... acromioclavicular arthritis ... acromioclavicular joint ... Acromioclavicular #Joint ... #msk #orthopedics
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... common sites: hip ... • XR, MRI to ... Osteomyelitis / Septic Arthritis ... BrighamChiefs #Bone #Joint
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