12 results
Stenosing Flexor Tenosynovitis or Trigger Finger.
The middle finger is blocked in flexion and the effort /
Stenosing Flexor ... and the effort / pain ... #tendon #tenosynovitis ... #msk #clinical ... #orthopedics #rheumatology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
of the extensor tendons ... fingertip) • Exam: Pain ... ), mallet finger ... splint • Ortho ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... is fixed in flexion ... ED Management: Pain ... joint • Ortho ... #Orthopedics #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint Pain ... Adjacent bursa • Tendon ... -60 minutes or longer ... e.g., congenital hip ... #MSK #rheumatology
Trigger Finger on Physical Exam

This is called the "trigger finger" or tendonitis of the finger flexors.
flexors. ... stretches and flexes ... with rheumatoid arthritis ... #clinical #video ... #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... injection lasts longer ... Injection #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
Stenosing flexor ... one shown in the video ... may have only pain ... #msk #clinical ... #orthopedics #rheumatology
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint Pain ... warm, swollen, tender ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
forefoot, ankles, knees ... swelling, significant pain ... frequent attacks • Arthritis ... elbows, Achilles tendon ... management #treatment #rheumatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
episcleritis as well as inner ... diminished, or tender ... , testes -> pain ... Cryoglobulins • HIV ... differential #diagnosis #rheumatology