9. Lab: Venous Sinus Drainage and Cervical CS Review Flashcards
What are some indications for Venous Sinus release?
Headache Whiplash Concussion Vertigo Tinnitus Otitis Media TMJ issues Sinusitis
Is venous sinus release useful for paranasal sinus release?
No
Slide 3
What are the steps of Venous Sinus Drainage?
- Inion (confluence of sinuses)
- Occipital Sinus
- Condylar Decompression
- Transverse Sinus (fingers at nuncal ridge)
- Straight Sinus (sweet spot)
- Sagittal Sinus (cross thumbs)
- Metopic Suture (spread fingers apart from midline of frontal)
Parietal Lift Treatment
Place 1st-4th fingers contacting inferior boarder of parietal bone, superior to squam suture and cross thumbs
On internal rotation, apply gentle superior traction to attain BMT
-maintain until release felt
Frontal Lift Treatment
With both arms on table
- position thenar eminences on lateral aspects of frontal bone, anterior to coronal suture
- Position hypothenar eminences on lateral angles of frontal bone
- -interlace fingers to create internal rotation of frontal
Apply gentle anterior force to disengage sutures
-hold until traction, release, and reassess
CS location: Posterior surface of mandible
AC1 mandible
-push anteriorly
CS location: Midway between ramus and mastoid process on lateral tip of C1
AC1 TP
-push medially
CS location: Anterior surface of C2-C6 transverse processes
AC2-AC6
CS location: Superior surface of clavicle, 2cm lateral to medial end
AC7
CS location: Superior surface of medial end of clavicle
AC8
AC1 TP Positioning and Force
SaRa
-push medially
AC1 Mandible positioning and force
Ra (maverick)
-push anterior
AC2-6 TP Positioning and Force
F SaRa
-push posterior medial
AC7 TP positioning and force
F StRa
-Push inferior
AC8 TP positioning and force
FSaRa
-Push inferior to clavical
