8 results
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Pathology of the Hip ... • Arthritis ... • Congenital hip ... Poliomyelitis Activity/ Trauma ... signs #diagnosis #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Inflammatory arthritis ... Noninflammatory arthritis ... Previous joint trauma ... e.g., congenital hip ... #Joint #Pain #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
• Fracture • Arthritis ... pseudogout • Trauma ... pain syndrome • Arthritis ... Herpes zoster - HIV ... lower #extremity #msk
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
to Joint Pain - Arthritis ... spine, shoulders, hips ... Noninflammatory • Trauma ... Parvovirus B19 • HIV ... Differential #Diagnosis #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Lyme), reactive arthritis ... Noninflammatory • Bloody: Trauma ... neuropathy so trauma ... - parvovirus, HIV ... #Joint #Pain #MSK
Gaenslen's Test (Gaenslen's maneuver) for Sacroiliac Joint Injury

The patient dangles the symptomatic leg over the side
Test (Gaenslen's maneuver ... stabilizes the pelvis ... applies passive hip ... Injury #SIJoint #hip ... #physicalexam #msk
Hemoperitoneum from ruptured spleen - Pelvic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents with syncope.
ruptured spleen - Pelvic ... tripped over dog and hit ... Hemoperitoneum #clinical #ultrasound ... #pocus #trauma ... #Pelvic
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
tripped over dog and hit ... perihepatic and pelvic ... Outlines uterus on pelvic ... with significant trauma ... Hemothorax #clinical #ultrasound