13 results
Stenosing Flexor Tenosynovitis or Trigger Finger on Physical Exam

Dr. Sergi Barrera @dr.sergibarrera

#TriggerFinger #Trigger #Finger #Stenosing #flexor
Stenosing Flexor ... #Stenosing #flexor ... #tendon #tenosynovitis ... #msk #clinical ... #orthopedics #rheumatology
Stenosing Flexor Tenosynovitis or Trigger Finger.
The middle finger is blocked in flexion and the effort /
Stenosing Flexor ... The middle finger ... #tendon #tenosynovitis ... #msk #clinical ... #orthopedics #rheumatology
Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed.  Note small fluid around the
POCUS Index finger ... tendon being viewed ... Tenosynovitis #POCUS #MSK ... #clinical #radiology ... #finger #ultrasound
Flexor Tenosynovitis on POCUS

Which of the following diagnoses does this clip best support?
Resolution: flexor tenosynovitis (majority
the following diagnoses ... tendon of this ... Tenosynovitis #POCUS #MSK ... #clinical #ultrasound ... #Finger
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... terminal extensor tendon ... that is fixed in flexion ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... wrist dorsiflexion/finger ... neck ipsilateral flexion ... #ULNT2 #ULTT2 #clinical ... physicalexam #sports #msk
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
Stenosing flexor ... The diagnosis is ... clinical, and can ... #msk #clinical ... #orthopedics #rheumatology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... wrist dorsiflexion/finger ... neck ipsilateral flexion ... #ULNT1 #ULTT1 #clinical ... physicalexam #sports #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... visceral organ or nerve ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
ankles, knees, fingers ... elbows, Achilles tendon ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology