Common Musculoskeletal abnormalities
Images provided by Dr John Robinson. Review his powerpoint presentation from home page.
Arthritis: Inflammation of the joint. Implies presence of warmth, swelling, heat, tenderness and erythema.
Fracture and dislocation can occur with any bone or joint
Splinting and casting
Shoulder
Rotator cuff tear
Calcific tendonitis
Bursitis
Dislocation
Arthritis
Elbow
Tennis elbow/ Golf elbow/ Epicondylitis
Olecrenon bursitis
Pediatric supracondylar humerus fractures
Arthritis
Rheumatoid nodule: A subcutaneous or subperiosteal nodule found on the extensor surface of forearm and elbow.
Wrist
Carpal tunnel syndrome
DeQuevains Tenosynovitis
Wrist ganglions: Cystic enlargement arising from joint capsules and tendon sheaths.
Colles fracture
Arthritis
Interphalangeal joints
Swan neck deformity
Boutonniere deformity: A characteristic deformity found in rheumatoid arthritis, which includes a flexion contracture of the proximal phalangeal joint associated with hyperextension of the distal interphalangeal joint.
Ulnar deviation: Fingers drift inward at the MCP joints
Synovial thickening: Palpable thickening of synovial membrane.
Dupuytren's contracture
Osteoarthritis
Bouchard's nodes: Bony enlargement of the proximal interphlangeal joints.
Heberden's nodes: Bony enlargement of the distal interphalangeal joints.
Gout
Tendon injuries
Boxers fracture
Fingertip injuries
Hyper mobile joints (Ehler-Danlos Syndrome)
You can anticipate deformity, swelling, fluid in joint, tenderness and altered range of motion to varying degrees in these musculoskeltal abnormalities.
You should record for each joint Swelling (S), Tenderness (T) and Loss of motion (L) using a rating scale.