41 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 ... are stabilized by ... joint hinge joint ... #Orthopedics #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
Rheumatoid Arthritis
Rheumatoid Arthritis (RA) is an inflammatory autoimmune condition. While chiefly thought of as a joint
affecting the MCP & PIP ... often affects the DIP ... wonder if there are ... cells at the MCP/PIP ... #msk #arthritis
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Pathogenesis and Joint ... 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 Test on Physical ... For intrinsic vs joint ... joint preventing ... BunnelLittler #Test #PhysicalExam ... clinical #video #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... mechanical forces that are ... affects the knee hip ... Comparison #Versus #MSK
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... rash) • Primary HIV ... Articular - Acute ... Infectious #JointPain #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... Arthritis: • Acute ... e.g., congenital hip ... #Pain #MSK #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... spine, shoulders, hips ... MONOARTHRITIS • Acute ... asymmetric pattern Acute ... Differential #Diagnosis #MSK
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
an accessible joint ... all patients for HIV ... Most patients are ... afebrile • Acute ... oligoarthritis • Distal joints