Please enable JavaScript.
Coggle requires JavaScript to display documents.
MSK Clinical Correlations (Hand/Wrist (Nodes (Heberden's Nodes =…
MSK Clinical Correlations
Shoulder, Arm, Forearm
Swelling / Pain
Epicondylitis
Medial Epicondyle = pain wrist FLEXION
"golfer's elbow"
Lateral = pain wrist EXTENSION
"tennis elbow"
Olecranon bursitis
(inflam of bursa w/ fluid acc;
trauma or infection if pain)
Arthritis
Acute Trauma
Bicipital Tenosynovitis (Tendonitis)
Pain at bicipital groove
Yergason's sign
Nursemaid's Elbow
children 2-6; sublax of radial head
Nodules
(subq, along extensor surface of ulna; firm, nontender)
Rheumatoid Arthritis Nodules
(usually distal to olecranon bursa)
Hand/Wrist
Colle's Fracture "dinner fork def."
Distal radius w/ dorsal displacement (toward palm side of hand)
Nodes
Heberden's Nodes = Osteoarthritis
(NOT RA, dorsolateral DIP joints;
hard & no pain; assoc w/ arthritis)
Bouchard's Nodes = OA (or RA)
(Nodes at PIP joints, less common in OA?)
Rheumatoid Nodules
(common on dorsum of hand)
Carpal Tunnel Syndrome
(entrapment of median n. in wrist
Can result in compression neuropathy and/or thenar atrophy
De Quervain's Tensosynovitis
(Irr. tendons of Ex pol brevis & ABd pol longus; bottom of snuff box)
SOOSH Injury = Scaphoid Fracture
(pain in snuff box)
Rheumatoid Arthritis
Ulnar deviation w/ PIP & MCP swelling
Swan Neck Deformity
DIP = Flexed
PIP = Extended
(chronic RA)
Boutonniere Deformity
(Opp Swan Neck)
Lower Extremity
Knees
Genu Valgus
Knock Knees
(g is a hammer)
Genu Varus
Bow Legs
(U is a bow)
Ankle
Anterior Talofibular Ligament
(Tears first!)
Peripheral Vascular Evaluation
Signs of Atrial Insufficiency:
-Pallor, Rubor, Hair loss, Atrophic skin, nail changes, ulcers, necrosis, gangrene
-Bruits auscultated (abd aorta, femoral a., popliteal a.)
Venous Insufficiency:
-Dialated tortuous veins (valve insuff.)
-Sx relieved with elevation
-Ankle edema, ulcerations
-Superficial thromosis
Hemosiderosis with Stasis Dermatitis in LE
(chronic venous insuff.
Brawny, non-pitting edema, iron leaks into IF, not warm)
Elevate legs, wear compression stockings, limit salt