92 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Approach to Joint ... ): • Septic joint ... so trauma and joint ... #Joint #Pain #MSK ... #rheumatology #
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
osteophytes & narrowed joint ... physicalexam #procedure #msk ... #orthopedics #sports ... #rheumatology
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... EM_RESUS #Clinical #POCUS ... #MSK #Shoulder
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
and Degenerative joint ... Inflammatory Joint ... • Moving the joint ... > Stiffness is short-lived ... Comparison #Versus #MSK
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
posterior glenohumeral joint ... #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 ... #physicalexam #msk ... #orthopedics #sports
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... • Fatigue Joint ... categories of joint ... #Pain #MSK #rheumatology
Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of
Talus Fracture on POCUS ... to tibiotalar joint ... POCUS showed talus ... Talus #Fracture #POCUS ... clinical #ultrasound #MSK
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
away from bone/joint ... typical of small joint ... tophus over the joint ... #ultrasound #msk ... #rheumatology #
Cross Arm Test of the Acromioclavicular Joint (Scarf Test or Cross Body Adduction Test)

The cross arm
Acromioclavicular Joint ... acromioclavicular joint ... Acromioclavicular #Joint ... clinical #video #sports ... #msk #orthopedics