AA2 Week 1 Scapula/Shoulder/Elbow/Wrist Points Flashcards
SI9
- Location
- Direction
- Depth
- Position
SI9
Location
1 cun above the posterior axillary fold when the arm is adducted, in between the teres muscles
Direction
Posterior to anterior. Do not direct the needle medially.
Depth
0.5 - 1.5 cun
Position
Sitting
SI13
- Location
- Direction
- Depth
- Position
SI13
Location
Medial corner of the supraspinatus fossa
Direction
Perpendicular or oblique, direction toward supraspinous fossa. Too medial or too deep may cause pneumothorax. Stay on scapula.
Depth
0.3-0.5 cun
Position
Sitting
SI14
- Location
- Direction
- Depth
- Position
SI14
Location
3 cun lateral to the midline at the level of the lower border of the spinous process of T1
Direction
oblique; inferior to superior and medially. Pick up tissue similar to GB 21. Avoiddeepperpendicularinsertiontoavoidpneumothorax.
Depth
0.3 - 0.5 cun
Position
Sitting
LI14
- Location
- Direction
- Depth
- Position
LI14
Location
On the line connecting LI 15 and LI 11; 3 cun below LI 15. The point is located anterior and superior to the deltoid tubercle on the anterior margin of the deltoid.
Direction
perpendicular or oblique inferior to superior
Depth
0.8 - 1.5 cun
Position
Sitting
LI16
- Location
- Direction
- Depth
- Position
LI16
Location
In the depression medial to the acromion and posterior to the acromioclavicular joint.
Direction
superior to inferior. For shoulder joint problems, direct the needle obliquely from medial to lateral and superior to inferior
Depth
1-1.5 cun
Position
Sitting
LU2
- Location
- Direction
- Depth
- Position
LU2
Location
Medial to the coracoid process and just inferior to the clavicle in the infraclavicular fossa, 6 cun lateral to the midline.
Direction
anterior to posterior, slightly medial to lateral and superiorly
Depth
0.5-1 cun
Caution: Risk of pneumothorax if needled in wrong direction or depth.
Position
Sitting
LU3
- Location
- Direction
- Depth
- Position
LU3
Location
On the anterolateral aspect of the arm, 3 cun below the axillary fold, in the groove between the biceps and the humerus, on the radial side of biceps brachii. Anterior and inferior to LI 14.
Direction
lateral to medial on a horizontal plane
Depth
0.5-1 cun
Position
Sitting
SI8
- Location
- Direction
- Depth
- Position
SI8
Location
Midpoint between the medial epicondyle and the olecranon in the ulnar groove. Locate the point with the elbow flexed.
Direction
perpendicular, or proximal to distal or distal to proximal along the ulnar nerve. Needle direction should be toward the pain.
Depth
0.3 - 0.8 cun
Position
Supine
HT3
- Location
- Direction
- Depth
- Position
HT3
Location
Midpoint between the medial epicondyle and the bicipital aponeurosis on the transverse cubital crease, in the depression.
Direction
Perpendicular
Depth
0.5-1 cun
Position
Supine
LU5
- Location
- Direction
- Depth
- Position
LU5
Location
On the transverse cubital crease on the lateral side of the bicipital aponeurosis.
Direction
intra-articular, perpendicular (use Betadine® or Stanhexidine® for deep insertion)
Depth
0.5 - 1 cun
Position
Supine
LI12
- Location
- Direction
- Depth
- Position
LI12
Location
1 cun superolateral to LI 11 on the supracondylar ridge of the humerus, at the insertion of brachioradialis, and extensor carpi radialis longus.
Direction
perpendicular
Depth
1 -1.5 cun
Position
Supine
LI5
- Location
- Direction
- Depth
- Position
LI5
Location
At the base of the anatomical snuff box, just distal to the radial styloid process, between the tendons of extensor pollicis longus and brevis.
Direction
perpendicular
Depth
0.3 - 0.5 cun
Position
Supine
LU7
- Location
- Direction
- Depth
- Position
LU7
Location
1.5 cun proximal to the radiocarpal joint (LI 5), on the radial side of the radial styloid process, just proximal to the insertion of the brachioradialis muscle, in the cleft between the tendons of brachioradialis and abductor pollicis longus.
Direction
oblique, proximal to distal
Depth
0.3 - 0.5 cun
Position
Supine
SI3
- Location
- Direction
- Depth
- Position
SI3
Location
When a loose fist is made, the point is found on the ulnar aspect of the hand, at the end of the skin fold just proximal to the head of the 5th metacarpal bone, where the skin changes color and texture.
Direction
perpendicular
Depth
0.5 - 0.7 cun
Position
Supine
SI6
- Location
- Direction
- Depth
- Position
SI6
Location
On the dorsal aspect of the forearm, with the palm of the hand facing the chest, in the groove between the ulnar head and the radius, just proximal to the radio-ulnar ligament.
Direction
angle of 45 degrees obliquely between the radius and the ulna
Depth
1.0 – 1.5 cun
Position
Supine
Baxie
- Location
- Direction
- Depth
- Position
Baxie
Location
With the hand in a loose fist, points are located on the web between the heads of the metacarpals at the junction of the red and white skin. Between the first and second fingers, the point is closer to the thumb. There are eight points in all.
Direction
towards the interspaces of the metacarpal bones
Depth
0.5 - 1.5 cun
Position
Supine
