37 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tender DIP joint ... #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... joint hinge joint ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gout (Gouty Arthritis ... ) - MSK Radiology ... with joint-space ... ON THE X-RAY! ... #Radiology #diagnosis
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... passively flex finger ... to do with both hands ... PhysicalExam #clinical #video ... #msk #PIP
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... -60 minutes or longer ... e.g., congenital hip ... #Pain #MSK #rheumatology ... #differential #diagnosis
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
Digitorum Finger ... interphalangeal joint ... extend at the PIP ... #Finger #Hand # ... #sports #msk #orthopedics
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... flexion at this joint ... to flex at the DIP ... #Jersey #Finger ... #sports #msk #orthopedics
Psoriatic Arthritis: Pathogenesis and Clinical findings

In tendons and connective tissues:
 • Enthesitis  - Pain/tenderness over
, ridging, oil spots ... Arthritis of DIP ... destructive) • X-ray ... of IP joints ... pathophysiology #diagnosis
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... Swelling notable on Xray ... esp carpal, MCP, PIP ... ulnar drift of fingers ... signs #symptoms #diagnosis
Boyes' Test - Flexor Digitorum Superficialis Finger Examination

Evaluate the injured finger for flexion.
Inability to flex the
Boyes' Test - Flexor ... metacarpophalangeal joint ... #Boyes #Test ... #finger #hand # ... #sports #msk #orthopedics