18 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... get bacterial seeding ... #Joint #Pain #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
distal radioulnar joint ... • ED Management ... : Pain control ... Type I, DC with ortho ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... most common major joint ... • ED Management ... : Simple, pain control ... Orthopedics #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... • ED Management ... : Pain control, ... • Ortho consult ... #Orthopedics #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
carpometacarpal joint ... , while the main ... : Pain control, ... Thumb spica • Ortho ... #Orthopedics #MSK
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... pain/Night sweats ... : - Gout - Pseudo ... Intra-articulation fracture ... differential #diagnosis #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 ... Finger splint • Ortho ... XRay #Diagnosis #Management ... #Orthopedics #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... and great toe pain-MTP ... No trauma. ... MSU crystals=Gout ... #MSK #Toe
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar joint ... radial-ulnar joint ... : Pain control ... supination • Ortho ... #Orthopedics #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... the morning • Effusion ... Noninflammatory • Trauma ... Crystal induced (Gout ... #Diagnosis #MSK