36 results
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 ... #differential #diagnosis
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 ... Like in this case ... #Joint #Pain #MSK ... #rheumatology #
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Bone Deformity / ... Algorithm Infection ... JointHip Dysplasia ... Disease Knee Joint ... Deformity #Limp #MSK
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... rash) • Primary HIV ... Infectious #JointPain #MSK ... #Orthopedics #Causes
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 ... #differential #diagnosis ... #causes #hematology
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... capsule cause of ... 🤳🏽) - Lil Bone ... PhysicalExam #clinical #video ... #msk #PIP
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint ... nodes (PIP joints ... Extrarticular #conditions #joint ... #differential #diagnosis ... #rheumatology
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... - Differential Diagnosis ... Genitourinary Infection ... Inflammatory #JointPain #MSK ... #Orthopedics #Causes
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... weeks) Can Be Caused ... Joint #pain #Differential ... #Diagnosis #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to ... Finger deformity caused ... disruption (may be bony ... joint, maintain ... #Orthopedics #MSK