MSK Flashcards
Chondromalacia patellae (patellofemoral pain) presentation
Girl/young adult
Anterior knee pain behind patella
Worsened by stairs + prolonged sitting
Presentation of
Osgood-Schlatter (tibial apophysitis)
Sporty teenager
Tenderness + swelling over tibial tuberosity
Features of:
Patella subluxation
Teenage girl
Knee gives way
Medial patella-femoral ligament tenderness
Patellar tendonitis presentation
Tender below patella
Chronic anterior knee pain
Worse after running
Osteochondritis dissecans presentation
Intermittent swelling + locking
Pain after exercise
Knee osteoarthritis presentation
Worsened by activity
Inactivity-stiffness <30min
Crepitus
Painful restricted movement
Baker’s Cyst presentation
Posterior knee ache
Popliteal swelling
Rupture > acute pain and calf swelling
Iliotibial band syndrome presentation
Cyclist/runner
Lateral knee pain + tender above joint line
Growing pains
3-12y
Pain not limited to joints
Only at night
Normal function
Causes of pain referred to knee
Slipped femoral epiphysis
Hip septic arthritis/synovitis/JIA
Perthe’s
OA of hip
Lumbar radiculopathy
Hip/groin pain + clicking in hip
Acetabula labral tear
Pain + swelling dorsoradial forearm 5-10cm from wrist
Intersection syndrome
1st line management of trigger finger
Steroid injection (+ splint after)
2nd line management of trigger finger
Surgery
Leg pain (+/- back pain) that resolves on sitting/leaning forward
Spinal stenosis
Leg pain that resolves on rest + weak pulses/cv risk factors
Peripheral arterial disease
Pain worse on leaning back
Facet joint pain
Pain 4-5cm distal to lateral epicondyle
Radial tunnel syndrome
Start bisphosphonate (without FRAX/DEXA) if:
> =75y + fragility fracture
=65y + steroids
Steroids + fragility fracture
Offer DEXA (without first FRAX) to:
> =50y + fragility fracture
<40y + major risk factors
Steroids considered high-risk for OP
> =7.5mg prednisolone for >=3m
T-score to offer bone protection if steroids
Less than -1.5
