22 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... neuropathy so trauma ... and joint destruction ... get bacterial seeding ... #Joint #Pain #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... : Pain control, ... • Ortho consult ... #Hand #Orthopedics ... #MSK
The Trauma Call Timeline

- A trauma team assembles rapidly in response to a major trauma alert
of catastrophic bleeding ... to guide early management ... pelvis, point of ... resuscitation to control bleeding ... perfusion.
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 ... #MSK
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
of hands/feet, ... pain / swelling ... effusions, reduced ... narrowing) • Ultrasound ... Arthritis #diagnosis #management
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... non-activity, may have effusion ... the morning • Effusion ... Noninflammatory • Trauma ... #Diagnosis #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 ... onto outstretched hand ... : Simple, pain control ... Orthopedics #Sports #MSK
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP ... No trauma. ... without using ultrasound ... Clinical #POCUS #ultrasound ... #MSK #Toe
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 ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar joint ... onto outstretched hand ... : Pain control ... supination • Ortho ... #Orthopedics #MSK