21 results
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 ... ED Management: Pain ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint hinge joint ... joint = hinge joint ... fingertip) • Exam: Pain ... ), mallet finger ... #MSK
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Syndrome Flex the hip ... Pain in the sciatic ... #sciatica #lumbar ... clinical #video #physicalexam ... #msk #sports #orthopedics
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
The test is positive ... if there is pain ... clinical #video #physicalexam ... #hip #lumbar #sciatica ... #msk #orthopedics
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Rotation) Flex the hip ... Pain in the sciatic ... #sciatica #lumbar ... clinical #video #physicalexam ... #msk #sports #orthopedics
Ely's Test for Rectus Femoris Tightness

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

Patient lies prone on the table. The examiner flexes the leg
buttock, if the hip ... table, or with pain ... irritation or lumbar ... #physicalexam # ... msk #orthopedics
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... -60 minutes or longer ... e.g., congenital hip ... slipped capital femoral ... #Pain #MSK #rheumatology
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... tend to bear the ... affects the knee hip ... #Degenerative #Comparison ... #Versus #MSK #JointDisease
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
interphalangeal joint ... extend at the PIP ... PhysicalExam #clinical ... video #sports #msk ... #orthopedics #extensor