38 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 ... Hyperextension injury ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... to do with both hands ... BunnelLittler #Test ... #PhysicalExam # ... clinical #video #msk
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Positive Varus Stress Test ... injury, we are ... complete rupture and ... Clinical #Video #PhysicalExam ... collateral #ligament #msk
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Chronicity: • Acute ... Like in this case ... • Acute = Viral ... - parvovirus, HIV ... #Joint #Pain #MSK
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... HTO) to correct his ... #ACL #Knee #Injury ... clinical #video #PhysicalExam ... Sports #Ortho #msk
Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Lachman test in ... HTO) to correct his ... #ACL #Knee #Injury ... clinical #video #PhysicalExam ... cruciate #ligament #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain with rest ... mechanical forces that are ... motion (relieved by rest ... affects the knee hip ... Comparison #Versus #MSK
Sacroiliac Distraction Test

The examiner applies downward and lateral pressure to the bilateral ASIS , the effect
Sacroiliac Distraction Test ... applies downward and ... injury dysfunction ... clinical #video #physicalexam ... #hip #msk #sports
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

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

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... Arthritis: • Acute ... e.g., congenital hip ... #Pain #MSK #rheumatology