Innominates Flashcards
pelvic girdle
components
- sacrum
- coccyx
- hip bones
hip bones aka innominates
innominates
components
ilium
ischium
pubic
acetabulum
hip socket
all 3 innominate bones (ilium + ischium + pubis)
femoro-acetabular joint
hip joint
true ball and socket
ligaments of hip joint
- iliofemoral - ANT
- pubofemoral- ANT
- ischiofemoral - POST
twisted
pes anserine
proximal medial surface of tibia
hip FLEXORS
- psoas major and minor
- iliacus
- rectus femoris
- sartorius
- tensor fasciae latae
sartorius and TFL are minor flexors
hip extensors
gluteus maximus
hamstring muscles
hamstring muscles
lateral:
biceps femoris long and short head
medial:
semimembranosus
semitendinosus
ADductor muscles
GAAAP
gracilis
adductor longus, magnus, brevis
pectineus
evaluate ADduction
stabilize opposite leg
ABduct hip in question
hip ABductors and internal rotators
gluteus medius and minimus
medius superficial to minimus
Trendelenburg Sign
Gait
hip of opposite leg standing on drops
weakness of gluteus medius and possible lesion to superior gluteal nerve (on standing leg)
ex. stand L > R hip drop = L weak glut
evaluate ABduction
stabilize leg
ADduct other leg
external rotators
piriformis
gluteus maximus
Anterior Innominate Rotation
ASIS is inferior
Posterior Innominate Rotation
ASIS is superior
lumbo-pelvic-femoral rhythm
innom follows thigh
lumbar spine move w/ sacrum in OPPOSITE directions
point when innom locks move on sacrum = move lumbar
can move lumbar spine by moving thigh
thigh extends past innom motion on sacrum
lumbar spine extends
also applies to flexion
ABduct thigh past innom motion on sacrum
lumbar spine side bends on ipsilateral side (same)
Inflare
innominates
ASIS closer to midline
Outflare
innominates
ASIS farther from midline
Upslip/Upshear
Innominates
superior translation of innom on sacrum
Downslip/downshear
Innominates
inferior translation of innom on sacrum
Superior Pubic Shear
pubic symphysis
pubic tubercule high on side of positive test
Inferior pubic shear
pubic symphysis
pubic tubercule low on side of positive test
Standing Flexion Test
positive on side that PSIS moves further = side of SD
ASIS Compression Test
positive on side less compressible= side of SD
passive joint movement
ME and CS
should not feel any pain, numb, tingling, etc
ME
pt should feel stretch NOT pain
CS
tenderness with tender point but NO pain getting to treatment position
Clinical Importance
lower extremity edema
constipation/diarrhea
urinary incontinence
bedwetting
pelvic pain
low back pain
hip pain
radiculopathy
Lymphadema
congestion of lymph return = swelling
painless and persistent
pitting w/o ulceration/varicosities/stasis pigmentation