9 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
PIP joints are ... and PIP joints ... fingertip) • Exam: Pain ... Discharge with orthopedic ... #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... warm, swollen, tender ... Number of Joints ... #Joint #Pain #MSK ... #rheumatology #
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... Adjacent bursa • Tendon ... 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
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 #sports
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 #sports
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
Greater Trochanteric Bursa Injection 

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