AA1 Scapula/Shoulder/Elbow/Wrist Points Flashcards
LI4 location and needling technique
- Location
- Insertion
- Depth
LI4 Needling technique
Location: At the level of the midpoint of the second metacarpal, between the first and second metacarpal on the dorsum of the hand. Feel for a depression and a tender spot
Insertion: perpendicular
Depth: 0.5 cun
HT7 needling technique
- Location
- Insertion
- Depth
HT7 needling technique
Location
On the wrist crease (palmar aspect) located between the ulnar styloid process and the pisiform bone, lateral to (on the radial side) of the flexor carpi ulnaris tendon.
Insertion
Perpindicular
Depth
0.25-0.5 cun
TE5 location and needling technique
- Location
- Insertion
- Depth
TE5
Location
On the dorsal aspect of the forearm, 2 cun proximal to the wrist crease corresponding to the radiocarpal joint between the radius and the ulna in the interosseus space
Insertion:
perpendicular
Depth:
0.5 - 1 cun
PC6 location and needling technique
- Location
- Insertion
- Depth
PC6
Location:
On the flexor surface of the forearm, 2 cun proximal to the wrist crease between palmaris longus and flexor carpi radialis longus.
Insertion:
perpendicular
Depth: 0.5 - 1 cun
LI10 location and needling technique
- Location
- Insertion
- Depth
LI10
Location
2 cun distal to LI 11 on the line connecting LI 11 and LI 5 in the depression between brachioradialis and extensor carpi radialis longus
Insertion:
Perpendicular.
Depth:
1-1.2 cun
L11 location and needling technique
- Location
- Insertion
- Depth
L11 location and needling technique
Location
On the transverse cubital crease, midpoint between the lateral edge of the biceps aponeurosis and the most prominent point of the lateral epicondyle, in the depression between extensor carpi radialis longus and brachioradialis
Insertion
Aim towards the midpoint of the elbow joint (bicipital aponeurosis).
Depth
1-1.5 cun
PC3 location and needling technique
- Location
- Insertion
- Depth
PC3 location and needling technique
Location
On the transverse cubital crease on the medial side of the bicipital aponeurosis
Insertion
Intra-articular, perpendicular, into the cubital fossa
Depth
0.5 - 1 cun
LI15 location and needling technique
- Location
- Insertion
- Depth
LI15 location and needling technique
Location
With the arm abducted, identify the anterior tip of the acromion. To locate the point, slide down into the depression/dimple between the anterior and middle fibers of the deltoid. If patient is unable to abduct to 90 ° the point may be located with the arm by the side.
Insertion
intra-articular, toward the midpoint of the axilla (HT1)
Depth
1-1.5 cun
TE14 location and needling technique
- Location
- Insertion
- Depth
TE14 location and needling technique
Location
With the arm abducted, identify the posterior tip of the acromion. To locate the point, slide down into the depression/dimple between the posterior and middle fibers of the deltoid.
Insertion
Intra-articular, toward the midpoint of the axilla (HT 1)
Depth
1-1.5 cun
SI11 location and needling technique
- Location
- Insertion
- Depth
SI11
Location
Midway on the line connecting the midpoint of the upper margin of the spine of the scapula (SI 12) and the inferior angle of the scapula. Alternatively, locate the point at the junction of the upper one third and lower two thirds on the line connecting the midpoint of the lower margin of the spine of the scapula and the inferior angle of the scapula.
Insertion
Oblique, medial to lateral and inferior to superior (towards the glenohumeral joint).
Nb. Deep needling on an osteoporotic scapula could produce pneumothorax.
Depth
0.5 - 1 cun
SI12 location and needling technique
- Location
- Insertion
- Depth
SI12 location and needling technique
Location
In the supraspinous fossa, directly above the midpoint of the spine of the scapula
Insertion
Aim towards the floor of the suprapinous fossa, down into the supraspinatus muscle.
Caution: Perpendicular insertion, posterior to anterior may cause Pneumothorax
Depth
0.5-1 cun
