Innominate Diagnosis/SD

Question 1

What must you do whenever you first have your patient lie down on the table?

Answer 1

Reset their hips

Patient supine with bent knees with feet flat on table then have them lift hips off table and then straighten out their legs

Question 2

Explain the Standing Flexion test

Answer 2

Have patient stand in front of doctor who is sitting at the level of the patients PSIS; bilaterally monitor the inferior aspects of the PSIS and have the patient bend forward; monitor to see which PSIS moves first and furthest

Question 3

Explain the pelvic compression test

Answer 3

Have patient supine; bilaterally contact the ASIS and induce a posterior and medial force on one ASIS at a time noting hard end feel; positive test is a hard end feel

Question 4

Explain how to evaluate ASIS height

Answer 4

Patient is supine; bilaterally contact the inferior aspects of the ASIS with your thumbs and take note whether one side is superior or inferior to the other side

Question 5

Explain how to evaluate ASIS to midline?

Answer 5

Patient supine; place thumb on inferior aspect of ASIS and measure distance to umbilicus; compare to other side

Question 6

Explain how to evaluate malleoli height/length

Answer 6

Have patient supine; move to foot of table and place thumbs on inferior aspects of medial malleoli and compare bilaterally to see if one is more superior or inferior than the other

Question 7

Explain how to evaluate PSIS height

Answer 7

Have patient lie prone; place thumbs on inferior aspect of PSIS and see whether one side is superior or inferior to the other

Question 8

Explain how to evaluate pubic tubercles

Answer 8

Have patient supine; using palm with fingers pointing cephalad apply a posterior force and move inferiorly until you find the pubic tubercles; then place your thumbs at the superior aspects of the pubic tubercles and compare to see if one side is superior or inferior to the other side

Question 9

What are the SD of the innominate?

Answer 9

Anterior/Posterior Innominate Rotation
Superior/Inferior Innominate Shear
Inflare/Outflare of Innominate
Superior/Inferior Pubic Shear

Question 10

Explain the test results to diagnose an Anterior Innominate Shear?

Answer 10

Anterior Innominate Rotation

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
ASIS height- inferior on effected side
PSIS height- superior on effected side
Malleoli height- inferior on effected side

Question 11

Explain the tests results to diagnose Posterior Innominate Rotation?

Answer 11

Posterior Innominate Rotation

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
ASIS height- superior on effected side
PSIS height- inferior on effected side
Malleoli- superior on effected side

Question 12

Explain the test results to diagnose a Superior Innominate Shear

Answer 12

Superior Innominate Shear

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
ASIS height- superior on effected side
PSIS height- superior on effected side
Malleoli- superior on effected side

Question 13

Explain the test results for an Inferior Innominate Shear

Answer 13

Inferior Innominate Shear

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
ASIS height- inferior on effected side
PSIS height- inferior on effected side
Malleoli- inferior on effected side

Question 14

Explain the test results to diagnose and Inflare of Innominate

Answer 14

Inflare of Innominate

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
ASIS Height- equal
PSIS Height- equal
Malleoli- equal
ASIS to midline- shorter on effected side

Question 15

Explain the tests results to diagnose an Outflare of Innominate

Answer 15

Outflare of Innominate

Standing Flexion- Positive on effected side
Pelvic Compression- positive on effected side
ASIS Height- equal
PSIS height- equal
Malleoli- equal
ASIS to midline- longer on effected side

Question 16

Explain the test results to diagnose a Superior Pubic Shear

Answer 16

Superior Pubic Shear

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
Pubic Tubercle- superior on effected side
ASIS Height- superior or equal
PSIS Height- superior or equal
Malleoli- superior or equal

Question 17

Explain the test results to diagnose Inferior Pubic Shear

Answer 17

Inferior Pubic Shear

Standing Flexion- positive on effected side
Pelvic Compression- positive on effected side
Pubic Tubercle- inferior on effected side
ASIS Height- inferior or equal
PSIS Height- inferior or equal
Malleoli- inferior or equal