5. Innominates Flashcards
What is the relevance of the innominates?
Common implication in low back pain
can effect balance and cause pain
influence on lymphatic, GI, GU
Ture/False: the sacrum is fused at birth
False: it is not fused
What are the common pain generator ligaments?
Iliolumbar
Posterior sacroiliac
sacrospinous
sacrotuberous
______ supports the GI and GU systems
Pelvis
Describe a anterior rotation of the innominate
ASIS -> inferior compared to contralateral
PSIS -> superior
Ischial Tuberosity -> superior
Describe a posterior rotation of the innominate
ASIS -> superior
PSIS -> inferior
Ischial Tuberosity -> inferior
What happens when a heel strikes the ground?
The innominate rotates posteriorly (on the same side as the heel strike)
What happens when the toe comes off of the ground?
Innominate on the same side rotates anteriorly
Describe a superior innominate shear
ASIS -> Superior
PSIS -> Superior
Ischial Tuberosity -> Superior
What is a pubic shear?
The pubic tubercle moves superior or inferior
A _______ is when the ASIS is more medial or lateral compared to the contralateral side
Flare
What are the steps for innominate testing?
- Palpate for TART
- Lateralization: ASIS compression
- landmarks
- Diagnosis
What pathology are the following characteristics describing?
Lateralization test: Right + Iliac Crest: Even ASIS: Right Inferior PSIS: Right Superior Pubic Tubercles: Even Medial Malleoli: Right Inferior
Right anterior rotated innominate
What pathology are the following characteristics describing?
Lateralization test: Right + Iliac Crest: Even ASIS: Right Superior PSIS: Right Inferior Pubic Tubercles: Even Medial Malleoli: Right Superior
Right posterior rotated innominate
What pathology are the following characteristics describing?
Lateralization test: Right + Iliac Crest: Right Superior ASIS: Right Superior PSIS: Right Superior Pubic Tubercles: Right Superior Medial Malleoli: Right Superior
Right Superior Innominate Shear