14 results
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
radial-ulnar joint ... onto outstretched hand ... : Pain control ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... • Acute = Viral ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... , pain with wrist ... : Pain control, ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... pain with wrist ... : Pain control, ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... approach #workup #differential
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... : Pain control, ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... with wrist extension ... : Pain control, ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... Viral Infections ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Top 10 situations when to think about lupus
1) Inflammatory joint pain (especially in the wrists and
) Inflammatory joint ... pain (especially ... in the wrists and ... the face (many differential ... erythematosus #rheumatology