22 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Like in this case ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... mechanical forces that are ... affects the knee hip ... > Stiffness is short-lived ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... Arthritis: • Acute ... e.g., congenital hip ... #Pain #MSK #rheumatology ... approach #workup #differential
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
Sacroiliac Distraction Test ... applies downward and ... #SIJoint #Joint ... clinical #video #physicalexam ... #hip #msk #sports
Piriformis Test

The Piriformis test evaluates for pain from sciatic nerve irritation caused by the piriformis muscle.
With
to 90 degrees and ... the hips are internally ... #Hip #PhysicalExam ... clinical #video #sports ... #msk #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... spine, shoulders, hips ... #pain #Differential ... #Diagnosis #MSK ... #rheumatology #
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Positive Varus Stress Test ... injury, we are ... Clinical #Video #PhysicalExam ... #Sports #Orthopedics ... collateral #ligament #msk
Flexor Digitorum Profundus Test

Isolate the distal interphalangeal joint over the edge of the table and observe
interphalangeal joint ... to flex at the DIP ... #PhysicalExam # ... clinical #video #sports ... #msk #orthopedics
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
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
for Sacroiliac Joint ... stabilizes the pelvis and ... clinical #video #physicalexam ... #msk #orthopedics ... #sports