Midfoot (Lisfranc) Injury / Tarsometatarsal Joint Complex Injuries

Clinic A/P, adults, Clinic A/P, Peds, MUSCULOSKELETAL

If there is a dislocation or bony injury, surgery is needed. If there are no fractures or dislocations in the joint and the ligaments are not completely torn, wear a non-weight-bearing cast or boot for 6 weeks. A) PRICE-M (Acute treatment) “Following diagnosis,...

Musculoskeletal Red flags

MUSCULOSKELETAL

Night pain Systemic illness Constitutional symptoms (fever, weight loss) Numbness and tingling Severe disability Swelling with no injury Multiple joint injury or pain

Corticosteroid Injections

MUSCULOSKELETAL

Corticosteroid Injections Ineffective for Knee Osteoarthritis A 2017 AAFP POEM shows that corticosteroid injections are ineffective for knee osteoarthritis over a two year period but side effects of injection remain. Am Fam Physician. 2017 Sep 15;96(6):406....

Shoulder pain by age and anatomic location

MUSCULOSKELETAL

1. Intrinsic causes (by age): Adolescents and young adults: Overuse injuries Acromioclavicular sprain Shoulder instability Middle-aged and older individuals: Rotator cuff tendinopathy, tears or impingement syndrome Subacromial bursitis or inflammatory synovitis...

Causes of Hypophosphatemia

MUSCULOSKELETAL, NEPHROLOGY

Major causes of hypophosphatemia True Hypophosphatemia happens through 4 major mechanisms: 1. Internal redistribution (Redistribution of phosphate from the extracellular fluid into cells) 2/2 to increased insulin secretion, particularly during refeeding, in refeeding...

Interpreting the FRAX score

MUSCULOSKELETAL

Note that a 10-year probability of a hip fracture ≥ 3% from the FRAX tool or a 10-year probability of a major osteoporosis-related fracture ≥ 20% from the Frax tool is an indication for pharmacotherapy in the setting of osteopenia or low bone mass (T-score between...