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Paget's disease 156,163,191.198 complications 141 spine 137 tibia 251,252 Pain ankle 260

back see Back pain complex regional pain syndrome see

Sudeck's atrophy foot 282 forefoot 282 great toe 282 heel 282 hip 171, 174 knee 215,216,235.236 limbs 248

lower limbs see Lower limbs neck see Neck pain sciatic 142

shoulder see Shoulder, pain Palmar fascia, thickening 110 Palmar grasp, testing 125 Palpable fluid wave test 221 Palpation 3-4 back pain 148 cervical spine 38 elbow 80-81 foot 285 hand 119 hip 181 shoulder 58-59 wrist 95-96 Palsy, ulnar nerve 75-76 Paraesthesia, hand 92 Paraplegia, metastatic lesions of spine 139 Paratendinitis 258

Achilles 258 Paronychia 114.124 Pars interarticularis 158 Patella bipartite 239 chondromalacia 210-211 dislocation 210,240 congenital 210 recurrent 238 examination 234-235 fractures 205 instability 209-210 movement 235 pathology 239-241 retropatellar syndromes 210-211 tenderness 235 Patella alta 213,239 Patellar ligament rupture 205 tenderness 222 Patella tap test 220 Patellofemoral angle 238 Patellofemoral instability 209-210

Patrick's test 183 Pavlov ratio 45

Pellegrini-Steida disease 207, 237. 242 Pelvic tilting 178 Pelvis, triradiate 196 Peroneal nerve, common (lateral popliteal) 264

deformity 30

motor/sensory distributions 29 tests 30

Peroneal tendon, snapping 259. 266 Perthes'disease 168-169. 190-192, 198-199 age effects 176 classification 169 treatment aims 169 Pes cavus (claw foot) 276-277, 282, 291. 293, 300 radiography 304 shoe wear 300 Pes planus see Flat foot Phalen's test 100

Pharyngeal shadow displacement 43

Pilonidal sinus 114

Pinch grip 125

Pin prick test 27

Pivot shift test 231

Jakob's reversed 232 Plantar fasciitis 280, 293, 305 Plantaris tendon, ruptured 247, 250 Plantar (digital) neuroma 280. 294, 295 Plantar wart 280, 289 Popliteal artery 293 Popliteal nerve, lateral see Peroneal nerve.

common (lateral popliteal) Popliteal region, examination 236 Positron emission tomography (PET) 8 Posterior tibial artery 293 Posterolateral drawer test 231 Post-traumatic osteodystrophy see Sudeck's atrophy Posture 2 examination 289-292 foot problems and 285, 289-292

heel 273-274. 291-292 neck pain 34 scoliosis 133 Prepatellar bursitis 213,217 Prolapsed intervertebral disc (PID) 141-143. 162, 164 contained 141 differential diagnosis 143 hip pain 176

investigations 150-153, 160 lumbar spine 141-142 neurological disturbance 142 pain 142 palpation 148 radiography 155 sequestered 141 thoracic spine 142 treatment 142- 143 see also Vertebrae Prostate carcinoma 69 Protrusio acetabuli 199 Proximal phalangeal articular angle 304 Pseudarthrosis, tibia 247-248, 251 Pseudogout 242 Psoas spasm 172 Psoriasis, toe nail growth 280

Pulled elbow 76

Pulp infections 114,124

Pulses checking in back pain 154 femoral 293 foot 292 Pyarthrosis 204-205,221 Pyogenic arthritis 169-170

sacroiliac joint 162 Pyogenic osteitis 138-139

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Arthritis Joint Pain

Arthritis Joint Pain

Arthritis is a general term which is commonly associated with a number of painful conditions affecting the joints and bones. The term arthritis literally translates to joint inflammation.

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