22 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... tender DIP joint ... ED Management: Pain ... Diagnosis #Management #Hand ... #Orthopedics #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 ... #Orthopedics #MSK
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 ... Pace #Maneuver #Test ... #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 ... #physicalexam #msk ... #sports #orthopedics
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential ... , Iliotiibial Band ... Intraarticular #MSK ... Diagnosis #Algorithm #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 #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
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... e.g., congenital hip ... capital femoral ... #Pain #MSK #rheumatology ... approach #workup #differential
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 ... approach #workup #differential
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