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Block 6 > Innominate/Pube Txt > Flashcards

Innominate/Pube Txt Flashcards

1
Q

Dx- right anterior innominate

A

rotate innominate posterior

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2
Q

Dx- left posterior innominate

A

rotate innominate anterior

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3
Q

Dx- left superior innominate shear

A

pull the innominate inferior, leg tug, rotate foot medial

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4
Q

Dx- right innominate outflare

A

inflare the innominate- bend at the knee, push the knee medial

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5
Q

Dx- right innominate inflare

A

outflare the innominate- bend the knee, push the knee lateral

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6
Q

Dx- bilat pubic compression

A

decompress the pubes using hip adductors- preparatory phase is squeezing the knees together while the pt pulls them apart, direct method phase is pushing the knees apart while the pt pushes them together

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7
Q

Dx- left inferior pubic shear

A

posteriorly rotate the innominate while gapping the pubes- bend the knee and rotate up

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8
Q

Dx- right superior pubic shear

A

anteriorly rotate the innominate while gapping the pubes- push the leg down off the table

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9
Q

Dx- anterior pubic shear right (BLT)

A

carry left pubes posteriorly to point of balance, carry right ASIS laterally which outflares the right innominate, bringing the right pubes further anterior

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10
Q

L1 tenderpoint is where?

A

ASIS

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11
Q

L2, 3, and 4 tenderpoints are where?

A

AIIS

2 is medial, 3 is lateral, 4 in inferior

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12
Q

L5 tenderpoint is where?

A

pubic tubercle

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13
Q

AL1 is found on medial aspect of the ASIS, you will push medial to lateral. What is the treatment?

A

supine, Dr on side of dysfunction, lumbar flexion with sidebending torso toward and rotating torso away by flexing hips and knees and pulling hips and legs towards point
FStRa

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14
Q

AL5 found on anterior pubic rami 1cm lateral to pubic symphysis, you will push anterior to posterior. What is the treatment?

A

supine, Dr on side of dysfunction, lumbar flexion with sidebending torso away and rotating torso away by flexing hips and knees and pulling hips towards you while swinging hips and feet away from you
FSaRa

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15
Q

Which is more common with postural dysfunction? AL1 or AL5?

A

AL1

AL5 is more common with pubic somatic dysfunction and may also occur with bladder dysfunction

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16
Q

What will be weak and tight with lower cross syndrome?

erector spinae?
gluteal?
abdominals?
iliopsoas?

A

tight erector spinae
weak gluteal
weak abdominal
tight iliopsoas

17
Q

AL2- medial AIIS, push medial to lateral
AL3- lateral AIIS, push lateral to medial
AL4- inferior AIIS, push inferior to superior

Treatment?

A

supine, standing on OPPOSITE side of dysfunction, lumbar flexion with sidebending torso away and rotating torso towards by flexing hips and knees and pulling hips and legs towards you
FSaRt

18
Q

AL2-4 is common with ____ dysfunction- people who _____.

A

postural, sit a lot

19
Q

What is found deep in anterior pelvis, 2/3 of distance from ASIS to midline? What is the treatment for this?

A

Psoas
supine, standing on side of dysfunction, marked bilat hip flexion and external rotation with knees bilat flexed with ankles crosses

20
Q

What is found deep in iliac fossa, 1/3 of distance from ASIS to midline? What is the treatment?

A

Iliacus
supine, standing on side of dysfunction, marked bilat hip flexion and external rotation with knees bilat flexed and ankles crossed

21
Q

What is found on lateral aspect of pubic tubercle at attachment of Inguinal ligament and pectineus muscle? You will push anterolateral to posteromedial. What is the treatment?

A

Inguinal (pectineus)
supine, standing on side of dysfunction, bilat hip and knee flexion, contralateral knee crossed over ipsilateral knee, ipsilateral hip adduction and internal rotation produced by pulling ipsilateral foot towards you

22
Q

What is found on the superior surface of iliopectineal eminence associated with the attachment of psoas minor? You will push anterosuperior to posteroinferior. What is the treatment?

A

Low ilium
supine, standing on side of dysfunction, marked ipsilateral hip flexion to about 100º (bend the knee and push it toward head)

23
Q

Posterior lumbar tender points on the spinous process treatment?

A

pure extension

24
Q

Posterior lumbar tender points on the transverse process treatment?

A

ESaRt- stand on same side, slide your knee under their thigh

25
Q

Where is the upper pole L5? Lower pole L5?

A

superior to PSIS, inferior to PSIS

26
Q

Upper pole of L5 is found on the superomedial aspect of PSIS. What is the treatment?

A

prone, extend ipsilateral trunk by rotating pelvis towards point OR by extending ipsilateral hip with slight adduction, creating slight extension and sidebending away from point

ESaRt

27
Q

Lower pole L5 is found on the inferior aspect of the PSIS. What is the treatment?

A

prone, ipsilateral hip flexion (90˚) with internal rotation and slight adduction
F IR Add
(flexion, internal rotation, adduction)

the foot will be toward the Dr, not the bed

28
Q

Piriformis- found in the belly of the piriformis muscle midway between ILA and greater trochanter. What is the treatment?

A

prone, seated on side of dysfunction, ipsilateral hip flexion to about 120˚ with some abduction and external rotation

the foot will be toward the table

29
Q

High ilium sacroiliac is found 2-3 cm lateral to PSIS at attachment of gluteus maximus. You will push lateral to medial. Treatment?

A

prone, standing on side of dysfunction, ipsilateral hip extension with slight abduction

you will grab the ankle and pick up the leg while pointing the toes away from the bed toward you

30
Q

Lateral PL3 and PL4 (gluteus medius)

Lat PL3 is on the iliac crest in superomedial gluteus medius muscle about halfway between PSIS and posterior edge of tensor fascia lata at the level of the PSIS

Lat PL4 is on the iliac crest in superolateral gluteus medius at the posterior border of the tensor fascia lata

Treatment?

A

prone, extend ipsilateral hip with abduction and external rotation

E ER Abd
(extend, external rotation, abduction)

you will grab the knee and pull the leg up with the toes pointing away from the table and toward you

31
Q

Mid pole sacroiliac found 10cm inferior and slightly lateral to PSIS at the level of the ILA. You will push anteromedial toward the ILA. Treatment?

A

prone, standing on side of dysfunction, ipsilateral hip abduction with slight flexion or extension as needed

pts knee bend with knee toward Dr, push ankle into table

32
Q

High ilium flareout found on lateral aspect of coccyx at attachment of coccygeus muscle. You will push posterolateral to anteromedial at 45˚. Treatment?

A

prone, standing on side of dysfunction, ipsilateral hip extension and adduction, may need slight external rotation

you will cross the pts legs and push up on top leg (leg closest to you) at the knee

33
Q

MPSI/gluteus is common with what?

A

sacral shears, USF, USE

34
Q

HIPO/coccygeus is common with what?

A

coccydynia (pain in coccyx) and pelvic floor dysfunction

Block 6 (16 decks)

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