Innominates Flashcards
What are innominates?
Hip bones
What are the important bony landmarks?
Iliac crests ASIS Pubic tubercles Medial Malleoli PSIS
What are the pelvic ligaments that stabilize the pelvis?
Iliolumbar
Sacroiliac - anterior and posterior
Sacrospinous
Sacrotuberous
What does muscle tension do for the pelvis and what can it lead to?
Stabilizes pelvis but can also lead to pain and somatic dysfunction
Form closure
SI joint stabilized by gravity and shape of joint (sacrum and innominate bones)
Force closure
SI joint stabilized by joint compression by muscles, ligaments, thoracolumbar fascia (all non-bone things)
Form closure and Force closure are important for?
Stable foundation for trunk and to transmit force with gait
SI joint pain is _____ % of chronic low back pain
15-25%
What are the 3 innominate motions?
Innominate rotation
Innominate and pubic shear
Innominate flare
When testing for innominate dysfunction what are you comparing bony landmarks to?
The contralateral side!
If an innominate rotates anterior, describe the locations of the ASIS and PSIS
ASIS = inferior PSIS = superior
If an innominate rotates posterior, describe the locations of the ASIS and PSIS
ASIS = superior PSIS = inferior
At what stage in walking is the innominate rotated posteriorly?
Heel strike
At what stage in walking is the innominate rotated anteriorly?
Toe off
What motions of the innominates are generally pathologic and cause pain?
Shear and flare
Innominate shear
ENTIRE innominate is superior or inferior
Pubic shear
ONLY PUBIC TUBERCLES are superior or inferior