34 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... ), RA, crystal disease ... Like in this case ... #Joint #Pain #MSK ... approach #workup #differential
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
disease Inflammatory ... Joint Disease ... nociceptors -> Pain ... mechanical forces that are ... Comparison #Versus #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Disease: • Pain ... disease must be ... Arthritis: • Acute ... #Pain #MSK #rheumatology ... approach #workup #differential
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Flex the shoulder ... to 90 degrees and ... Pain at the acromioclavicular ... #ACJoint #shoulder ... #sports #msk #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Differential Diagnosis ... the time course (acute ... axial (spine, shoulders ... #pain #Differential ... #Diagnosis #MSK
Scarf Test (Cross-Body / Cross-Arm Adduction Test) for Acromioclavicular Joint Integrity

The cross arm flexion test evaluates
Flex the shoulder ... to 90 degrees and ... Pain at the acromioclavicular ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... Therefore, the hand ... • This case should ... Differential diagnosis ... diffuse chondral disease
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
of the affected joint ... antibodies, which are ... should be obtained ... for Acute Polyarthritis ... low back pain)
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
all cases there are ... and these should ... Malignancy - Night pain ... splenomegaly, abnormal neurology ... discrepancy, multiple joint
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Legg-Calve-Perthes disease ... - HIV - Lyme disease ... Immobilization) • Acute ... lower #extremity #msk