59 results
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 ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology #
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
PIP joints are ... and PIP joints ... are stabilized by ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
not symmetrical and ... often affects the DIP ... inflammatory markers and ... wonder if there are ... #msk #arthritis
Common Forms of Arthritis in the Hands

Acute Rheumatoid Arthritis 
Tender, painful, stiff joints in rheumatoid arthritis,
Acute Rheumatoid ... wrist joints are ... in acute disease ... #Arthritis #Hands ... #Types #Rheumatology
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
: Pathogenesis and ... manifestations are ... • Non-specific Acute-phase ... reactants are also ... esp carpal, MCP, PIP
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint preventing ... unaffected side and ... to do with both hands ... BunnelLittler #Test #PhysicalExam ... clinical #video #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... spine, shoulders, hips ... - Autoimmune Rheumatologic ... Differential #Diagnosis #MSK ... #rheumatology #
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
between Inflammatory and ... Blood carries heat and ... mechanical forces that are ... affects the knee hip ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... during motion and ... Arthritis: • Acute ... e.g., congenital hip ... #Pain #MSK #rheumatology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... interphalangeal joint ... with joint-space ... Therefore, the hand ... #rheumatology