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OS II MIDTERM > Innominates > Flashcards

Innominates Flashcards

1
Q

What are the key influences on the body by the innominate?

A

painless gait and trunk control, balance, lymphatic, GI and GU system

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2
Q

What are the bones of the innominate?

A

Ilium, pubis, ischium

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3
Q

What are the key joints of the pelvis?

A

2 SI joints, 1 pubic symphysis, 2 hip joints

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4
Q

What are the major anterior bony landmarks of the pelvis?

A

iliac crest, anterior superior iliac spine, anterior inferior iliac spine, pubic tubercle/symphysis

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5
Q

What are the major posterior bony landmarks of the pelvis?

A

posterior superior iliac spine, posterior inferior iliac spine, ischial tuberosity

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6
Q

What are the common ligaments of the innominates and sacrum that cause pain due to overuse

A

iliolumbar, posterior superioriliac, sacrospinous, sacrotuberous

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7
Q

What does the pelvis do for body systems?

A

support sGI and GU systems, lymphatic trunks from LE, pelvic floor and diaphragm

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8
Q

What are the biomechanical functions of the innominate?

A

foundation of trunk, maintain stability of trunk during movement, transmit force during gait

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9
Q

What are the primary motions of innominate rotation?

A

rotates anterior (toe off during walking), rotates posterior (heel strike during walking), shear, in flare, out flare

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10
Q

What tests are used to lateralize the dysfunction?

A

ASIS compression, standing flexion

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11
Q

What is the ASIS compression test?

A

posterior medial compression to assess SI joint

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12
Q

What is the standing flexion test?

A

assess ability of SI joint to stabilize during motion, PSIS will move superior on dysfunctional side

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13
Q

What are the steps of diagnosing and treating innominate dysfunction?

A
  1. Lateralization test
  2. palpate landmarks
  3. Diagnose somatic dysfunction
  4. Treat
  5. Reasses
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14
Q

What landmarks are important to identify in an innominate diagnosis?

A

PSIS, ASIS, iliac crest heights, medial malleoli, ASIS to midline, pubic tubercle

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15
Q

What is an anterior innominate rotation?

A

Superior PSIS, inferior ASIS, inferior malleoli, iliac crests even

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16
Q

What is a posterior innominate rotation?

A

PSIS inferior, superior ASIS, superior malleoli, iliac crests even

17
Q

What is a superior innominate shear?

A

PSIS superior, ASIS superior, Malleoli superior, Iliac crest superior, pubic tubercle superior

18
Q

What is an innominate shear?

A

PSIS inferior, ASIS inferior, Malleoli inferior, iliac crest inferior, pubic tubercle inferior

19
Q

What is an outflare of innominate?

A

ASIS to midline longer on side of dysfunction

20
Q

What is an inflare of innominate?

A

ASIS to midline shorter on side of dysfunction

21
Q

What is a superior pubic shear?

A

pubic tubercle superior

22
Q

What is an inferior pubic shear?

A

pubic tubercle inferior

23
Q

What is the supine treatment for an anterior innominate rotation?

A

patient supine, physician passively flexes patients hip until the edge of the restrictive barrier is reached – ME

24
Q

What is the prone treatment for a posterior innominate rotation?

A

patient prone, physician extends patients hip until restrictive barrier is reached – ME

25
Q

What is the treatment for superior innominate shear?

A

Pt supine, physician grasps tibia and fibula above angle, internally rotate and abduct pt leg and apply axial traction

26
Q

What is the treatment for inferior innominate shear?

A

Pt supine, physician grasps pt tibia and fibula, internally rotate and abduct pt leg and apply cephalad compression

27
Q

What is the treatment for inflare of innominate?

A

Pt supine, knee and hip flexed, foot placed on lateral side of opposite knee, abduct and externally rotate until barrier is reached

28
Q

What is the treatment for outflare of innominate?

A

pt supine, knee and hip flexed, foot placed on lateral side of opposite knee, adduct and internally rotate until barrier is reached

29
Q

What is the pubic dysfunction shotgun treatment?

A

Flex hips to 45 degrees and knees to 90 degrees, use isometric contractions and alternate between adduction and abduction

30
Q

What is the superior pubic shear MET?

A

Pt supine, abduct and extend leg off table, have pt flex hip medially toward ceiling to activate adductor muscles

31
Q

What is the inferior pubic shear MET?

A

Pt supine, flex and adduct until barrier is reached, have patient try to abduct and extend hip for 3-5 seconds

32
Q

What is the setup for posterior innominate rotation BLT?

A

pt seated, doc holding tibias, push up on IPSI leg and pull down on CONTRA leg to attain balance point, have pt rotate trunk towards SD until IPSI leg draws upward

33
Q

What is the setup for anterior innominate rotation BLT?

A

pt seated, doc holding tibias, pull down on IPSI leg and push up on CONTRA leg, have pt rotate trunk away from SD until CONTRA leg draws up

OS II MIDTERM (7 decks)

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