IN & EX Ilium Flashcards

1
Q

Xray Findings - central ray passes through the pubic bone on the side of IN or EX ilium

A

EX ilium

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2
Q

Xray Findings - horizontal dimension of iliac ala is decreased on the side of IN or EX ilium

A

EX ilium

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3
Q

Xray Findings - horizontal dimension of iliac ala is ________ on the side of EX ilium

A

decreased

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4
Q

Xray Findings - pubic symphysis deviates away from central ray on side of IN or EX ilium

A

IN ilium

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5
Q

Xray Findings - pubic symphysis deviates toward or away from the central ray on an IN ilium

A

deviates away from

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6
Q

Xray Findings - horizontal dimension of iliac ala is increased or decreased on side of IN ilium

A

increased

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7
Q

Xray Findings - horizontal dimension of iliac ala is increased on side of IN or EX ilium

A

IN ilium

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8
Q

Xray Findings - sacral centerline passes through the pubic bone on the side of IN or EX ilium

A

EX ilium

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9
Q

Xray Findings - horizontal dimension of obturator foramen is increased or decreased on side of EX ilium

A

increased

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10
Q

Xray Findings - horizontal dimension of obturator foramen is increased on side of IN or EX ilium

A

EX ilium

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11
Q

Xray Findings - horizontal dimension of iliac ala is increased or decreased on side of EX ilium

A

decreased

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12
Q

Xray Findings - horizontal dimension of iliac ala is decreased on the side of IN or EX ilium

A

EX ilium

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13
Q

Xray Findings - pubic symphysis deviates away from or towards sacral centerline of IN ilium

A

away from

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14
Q

Xray Findings - pubic symphysis deviates away from sacral centerline in IN or EX ilium

A

IN ilium

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15
Q

Xray Findings - horizontal dimension of obturator foramen is increased or decreased on the side of IN ilium

A

decreased

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16
Q

Xray Findings - horizontal dimension of obturator foramen is decreased on the side of IN or EX ilium

A

IN ilium

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17
Q

Xray Findings - horizontal dimension of iliac ala is increased or decreased on the side of IN ilium

A

increased

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18
Q

Xray Findings - horizontal dimension is iliac ala is increased on the side of IN or EX ilium

A

IN ilium

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19
Q

What tests are performed for Y axis motion palpation

A

Seated SI Axial Rotation
Seated Lumbopelvic Lateral Bending
Leg Fanning

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20
Q

Right Ipsilateral Axial Rotation - what side do you stand on

A

left

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21
Q

Right Ipsilateral Axial Rotation - what hand is your contact hand

A

right

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22
Q

Right Ipsilateral Axial Rotation - what is your SCP

A

right PSIS

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23
Q

Right Ipsilateral Axial Rotation - which direction will the PSIS go (medial or lateral)

A

medial

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24
Q

Right Ipsilateral Axial Rotation - what do you compare the right side to

A

left ipsilateral axial rotation

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25
Q

Right Ipsilateral Axial Rotation - how can you tell which side is fixed

A

if one PSIS does not glide medially when compared to the opposite side is fixed

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26
Q

Is the fixed side typically an IN or EX ilium

A

EX ilium

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27
Q

Right Contralateral Axial Rotation - what side do you stand on

A

left

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28
Q

Right Contralateral Axial Rotation - what hand do you use

A

right

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29
Q

Right Contralateral Axial Rotation - what is the SCP

A

left PSIS

30
Q

Right Contralateral Axial Rotation - what direction will the PSIS go - medial or lateral

A

lateral

31
Q

Right Contralateral Axial Rotation - what do you compare the right side to

A

Left Contralateral Axial Rotation

32
Q

Right Contralateral Axial Rotation - how can you tell what side is fixed

A

when comparing the two contralateral sides, the one that does not move laterally is fixed

33
Q

Seated Sacroiliac Axial Rotation - Right or Left Ipsilateral Fixation indicates IN or EX ilium

A

EX ilium

34
Q

Seated Sacroiliac Axial Rotation - Right or Left Contralateral Fixation indicates IN or EX ilium

A

IN ilium

35
Q

Seated Lumbopelvic Lateral Bending - Right or Left Ipsilateral Fixation indicates IN or EX ilium

A

EX ilium

36
Q

Seated Lumbopelvic Lateral Bending - Right or Left Contralateral Fixation indicates IN or EX ilium

A

IN ilium

37
Q

Leg Fanning - Right or Left Abduction Fixation indicates

A

posterior rotation of the sacrum or

EX ilium

38
Q

Leg Fanning - Right or Left Adduction Fixation indicates

A

IN ilium

39
Q

When PSIS palpates more medial (or closer) to the second sacral tubercle is it an IN or EX misalignment

A

IN Misalignment

40
Q

If it is an IN Misalignment will the PSIS palpate more medial (closer to) or lateral (further away) to the second sacral tubercle

A

medial

41
Q

When the spongy edema is located along the entire anterior margin of the SI joint is it an IN or EX misalignment

A

IN misalignment

42
Q

If it is an IN misalignment where will the spongy edema be located

A

entire anterior margin of the SI joint

43
Q

Can the anterior margin of the SI joint be palpated

A

no

44
Q

Can the edema from an IN misalignment be palpated

A

no, it’s on the anterior side of SI joint

45
Q

If it is an EX misalignment where will the spongy edema be located

A

posterior margin of SI articulation

46
Q

When the spongy edema is located on the entire posterior margin of the SI articulation is it an IN or EX misalignment

A

EX misalignment

47
Q

If it is an EX Misalignment will the PSIS palpate more medial (closer to) or lateral (further away) to the second sacral tubercle

A

lateral (further away)

48
Q

If the PSIS is palpated more lateral (further away) from the second sacral tubercle is it an IN or EX misalignment

A

EX misalignment

49
Q

If there is an IN misalignment will the gluteal muscle be flattened or narrowed and hunched

A

flattened

50
Q

If the gluteal muscle is flattened is it an IN or EX misalignment

A

IN misalignment

51
Q

If there is an IN misalignment the toe-out foot flare may be found on the side of IN or EX ilium and place stress on the medial knee or ace tabular hip

A

IN ilium and acetabular hip

52
Q

If there is a toe-out foot flare on the side of IN ilium and stressing the acetabular hip is it an IN or EX misalignment

A

IN misalignment

53
Q

If there is an EX misalignment will the gluteal muscle be flattened or narrowed and hunched

A

narrow and hunched

54
Q

If the gluteal muscle is narrow and hunched is it an IN or EX misalignment

A

EX misalignment

55
Q

If there is an EX misalignment the toe-out foot flare may be found on the side of IN or EX ilium and place stress on the medial knee or ace tabular hip

A

EX ilium and medial knee

56
Q

If there is a toe-in foot flare on the side of EX ilium and stressing the medial knee is it an IN or EX misalignment

A

EX misalignment

57
Q

The sympysis rotates to which side - IN or EX

A

IN

58
Q

Only one of the ilia are fixed/subluxated - the other is in a position of compensatory alignment. What side is fixed - spinous rotation or body rotation

A

side of posterior body rotation

59
Q

The gluteus medius trigger points may be tender upon palpation. One is located 2” lateral and the other 4” lateral of the PSIS. These trigger points may be present even though the problem may be an IN ilium on the opposite side. Does this indicate an IN or EX misalignment

A

EX misalignment

60
Q

The patient may experience sciatic-like pain down the back of the thigh. Is this IN or EX misalignment

A

EX misalignment

61
Q

The patient may experience inguinal/groin pain that may be exacerbated when the patient rises from the seated position. If the pain is severe it may radiate a short distance into the anterior-medial thigh. In some cases testicular pain may be present. Is this IN or EX misalignment

A
IN misalignment
(check for tight/weak priformis and external rotators)
62
Q

Patient develops osteoarthritis of the ace tabular hip on that side. Is it IN or EX misalignment

A

Chronic IN misalignment

63
Q

Patient develops osteoarthris of the medial knee on that side. Is it IN or EX misalignment

A

Chronic EX misalignment

64
Q

Increased horizontal dimension of iliac ala - IN or EX

A

IN

65
Q

Decreased horizontal dimension of obturator foramen - IN or EX

A

IN

66
Q

Decreased horizontal dimension of ischium - IN or EX

A

IN

67
Q

Sacrum is relatively posterior to PSIS - IN or EX

A

IN

68
Q

Decreased horizontal dimension of iliac ala - IN or EX

A

EX

69
Q

Increased horizontal dimension of obturator foramen - IN or EX

A

EX

70
Q

Increased horizontal dimension of ischium - IN or EX

A

EX

71
Q

Sacrum is relatively anterior to PSIS - IN or EX

A

EX