34 results
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 ... dx and stage ... #Joint #Pain #SickleCell
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... joint preventing ... to do with both hands ... 🤳🏽) - Lil Bone ... clinical #video #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 ... the subchondral bone ... #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 ... tender DIP joint ... Mallet #Finger #Radiology ... #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
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
interphalangeal joint ... with joint-space ... Differential diagnosis ... appearance, usually joint ... #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
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 ... - MRI: inflammation ... SAPHO #Syndrome #Rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Degenerative joint ... Inflammatory Joint ... affects the knee hip ... > Stiffness is short-lived ... Comparison #Versus #MSK
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Widening of the MTP joint ... Unstable 2nd MTP joint ... Differential diagnosis ... plate, subchondral bone ... foot #clinical #mri