13 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... Discharge with orthopedic ... Management #Hand #Orthopedics ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... Exam: Swollen and tender ... DIP joint that ... Discharge with orthpedic ... #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Non-Inflammatory 3) Number ... warm, swollen, tender ... Number of Joints ... - parvovirus, HIV ... #Joint #Pain #MSK
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
JointHip Dysplasia ... Slipped Capital Femoral ... Patella (e.g., Tendon ... Deformity #Limp #MSK ... Diagnosis #Algorithm #Orthopedics
Complete Rupture of Patellar tendon on POCUS. See the Normal and Ruptured.

EMUSS @emuss_uk

#Rupture #Patellar #tendon #POCUS
on POCUS. ... #POCUS #normal ... #comparison #clinical ... ultrasound #knee #msk ... #orthopedics
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
buttock, if the hip ... irritation or lumbar ... clinical #video #hip ... #physicalexam #msk ... #orthopedics #sports
Ely's Test for Rectus Femoris Tightness

Patient lies prone on the table. The examiner flexes the leg
buttock, if the hip ... irritation or lumbar ... clinical #video #hip ... #physicalexam #msk ... #orthopedics #sports
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Inflammatory Joint ... tend to bear the ... affects the knee hip ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... Adjacent bursa • Tendon ... e.g., congenital hip ... slipped capital femoral ... #Pain #MSK #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
find the most tender ... leg well below hip ... joint. ... rheumatology #sports #msk ... #orthopedics #hip