64 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Chronicity: • Acute ... Like in this case ... - parvovirus, HIV ... #Joint #Pain #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 ... are stabilized by ... fingertip) • Exam: Pain ... #Orthopedics #MSK
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
pain, swelling, ... manifestations are ... • Non-specific Acute-phase ... pain), especially ... esp carpal, MCP, PIP
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
the patient's hips ... positive if there is pain ... Syndrome #clinical #video ... #physicalexam # ... #msk #orthopedics
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Syndrome Flex the hip ... Pain in the sciatic ... lumbar #clinical #video ... #physicalexam # ... msk #sports #orthopedics
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
medial or lateral joint ... line pain, locking ... Tear #clinical #video ... #physicalexam # ... msk #orthopedics
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... 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 ... Pain - Differential ... Pain • Viral ... Articular - Acute ... Infectious #JointPain #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Joint Test on Physical ... joint preventing ... BunnelLittler #Test #PhysicalExam ... #clinical #video ... #msk #PIP
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Rotation) Flex the hip ... Pain in the sciatic ... lumbar #clinical #video ... #physicalexam # ... msk #sports #orthopedics