1- Pelvis and LE ME Flashcards
https://www.brainscape.com/decks/546980/cards/quick
Anterior Ilium Rotators
Tensor Fascia Latae Quadriceps Quadratus lumborum ilicostalis muscles internal abdominal obliques latissimus dorsi
Posterior Ilium Rotators
Hamstring Glutueus Maximus Semitendinosus Biceps femoris Semimembranosus
Origin/insertion of hamstring
Ischial tuberosity/linea aspera–> tibia, fibula
Origin/insertion of tensor of tensor fascia latae
Anterior iliac crest–> anterolateral tibia below the plateau
Origin/insertion of quadriceps
Rectus femoris/ASIS–> tibial tuberosity via patellar ligament
Fibular head moves _____ dorsiflexion and _______ in plantar flexion
Anterior, posterior
How to treat a posterior fibular head
Posterior fibular head
Externally rotate, evert
Dorsiflex
How to treat an anterior fibular head
Anterior Fibular HEad
Internally rotate, invert
Plantar flex
Common symptoms of anterior innominate rotation
ipsilateral hamstring tightness/spasm, sciatica, tissues changes at ipsilateral ILA and iliolumbar ligament, and freedom of motion anteriorly
Common symptoms of posterior innominate rotation
Inguinal/groin pain, medial knee pain, inguinal tenderness, tissue changes at the sacral sulcus
Common symptoms of superior shear
pain in pelvis, ipsilateral SI joint and pubes
If you have a shear and a rotation which do you treat first
Shear
For pubes dysfunction, what direction does the physician ALWAYS push
in the direction to fix the dysfunction
in which pubes treatment do you place the pt’s feet shoulder width apart
Abducted ilium
In which treatment of the pubes do you place the pt’s feet together
Adducted Ilium
To treat an anterior innominate dysfunction the physician sets up the pt in (two ways)
prone position, drop leg off table and resit their extension
Supine, flex leg and resist extension
Two ways to treat a posterior innominate dysfunction
Prone, lift leg, resist flexion
Supine, left off table, resist flexion
in treatment of superior shear the physician applies caudad pressure on the ____ leg and instructed to push with _____ opposite
Shear, opposite
in what dysfunctions are the pubes not in neutral
superior and inferior shear
Diagnosis of a combination of anterior rotation and superior shear
PSIS superior, Tubes superior, and everything else neutral
First step of pelvic diagnosis (hint it is how you are going to name the dysfunction)
Seated Flexion test
What 6 anatomic landmarks can you assess for pelvic dysfunction
ASIS, PSIS, Iliac Crests, Ischial tuberosities, and pubes/medial malleoli
what trend does the level of the tubes follow
same as PSIS
In what dysfunctions is the medial malleoli superior
Posterior and Superior Innominate Shear
what can a fall on your butt cause
Superior Shear
What can tight hamstrings cause
posterior innominate rotation
o When you dorsiflex or externally rotate the foot the fibular head moves _______
anterior
o When you plantar flex or internally rotate the foot the fibular head moves ________
posterior
most common ankle dysfunction
unleveling of the talus on the mortus
how do you treat an unleveling of the talus on the mortus
dorsiflex and evert