51 results
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
about bacterial infections ... about indolent infections ... infection. ... - parvovirus, HIV ... #rheumatology #
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Corticosteroid Injection ... osteophytes & narrowed joint ... #clinical #video ... procedure #msk #orthopedics ... #sports #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
joint. ... #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Infectious Joint Pain - Differential Diagnosis Algorithm 
Polyarticular Join Pain
 • Viral Myalgia
 • Viral Arthritis
Infectious Joint ... Polyarticular Join ... rash) • Primary HIV ... Infection • Endocarditis ... Diagnosis #Algorithm #Orthopedics
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
joint preventing ... & passively flex ... 2) Flex MCP & passively ... flex at the PIP ... PhysicalExam #clinical #video
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Piriformis Syndrome Flex ... the hip to 90 degrees ... internally rotate the hip ... lumbar #clinical #video ... #msk #sports #orthopedics
Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
Internal Rotation) Flex ... the hip to 90 degrees ... internally rotate the hip ... lumbar #clinical #video ... #msk #sports #orthopedics
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... spine, shoulders, hips ... - Autoimmune Rheumatologic ... Parvovirus B19 • HIV ... Diagnosis #MSK #rheumatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... predispose to other orthopedic ... common sites: hip ... BrighamChiefs #Bone #Joint ... diagnosis #causes #hematology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... pain from: • Joint ... Acute or chronic infections ... e.g., congenital hip ... #Pain #MSK #rheumatology