Lab- Innominates Flashcards
what is a positive finding for the standing flexion test?
the dysfunctional innominate’s PSIS moves farther superior
what should you always perform prior to a supine evaluation of the pelvis?
reset the hips
what are the two methods used for lateralizarion? `
standing flexion test and the ASIS compression
what is a positive finding for an ASIS compression test?
there is a hard end-feel or restriction of motion on the dysfunctional innominate
what are the first two steps for an innominate inspection?
palpate for TART and lateralization test
how do you induce a posterior rotation of an innominate?
by passively flexing the patient’s hip and knee
how do you induce an anterior rotation of an innominate?
passively extend the leg
what should you do first when treating a superior/inferior innominate shear SD?
you should GAP THE SI JOINT
how do you gap the SI joint?
internally rotate, slightly flex (10-20 degrees), and abduct the leg
how do you induce an inferior shear?
gently lean back to maintain traction to the restrictive barrier
how do you induce a superior shear?
you gently lean forward, pushing the patient’s leg cephalad to the restrictive barrier
DO NOT FORGET TO GAP THE SI JOINT ERIN
thank you
how should you set up the treatment for a right innominate inflare/outflare?
you flex the dysfunctional leg at the hip and knee with the foot placed at the lateral aspect of the opposite leg
how do you induce an outflare?
you gently externally rotate and abduct the hip to the restrictive barrier
how do you induce an inflare?
you gently internally rotate and adduct the hip to the restrictive barrier
how do you treat a superior pubic shear SD?
you abduct and slightly extend the leg
how do you treat an inferior pubic shear SD?
you flex the patient’s hip with adduction
what is the shotgun approach used for?
pubic dysfunction; you have the patient alternate between adduction and abduction of the legs
how do you position the segments for BLT?
in an indirect manner
how do you treat a right anterior rotated innominate with BLT? important hint hint
you slowly pulldown on the ipsilateral leg and push up on the contralateral leg; you then instruct the patient to rotate towards the contralateral side
how do you treat a posteriorly rotated innominate with BLT? important hint hint
you slowly push up on the ipsilateral side and pull down on the contralateral side; instruct the patient to turn toward the ipsilateral side
how should you treat a right anterior rotated innominate with HVLA?
posteriorly rotate the innominate to the direct barrier; thrust simultaneously by pulling the PSIS inferiorly in line with the greater trochanter and rotating the shoulder posteriorly
how should you treat a right posterior rotated innominate with HVLA?
you anteriorly rotate the innominate to the direct barrier and then thrust simultaneously by pulling the PSIS superiorly/anteriorly toward the umbilicus and rotating the shoulder posteriorly
how do you treat an inferior innominate shear with HVLA?
patient is lying lateral recumbent; you thrust simultaneously by pulling the ischial tuberosity and PSIS superiorly and rotating the shoulder posteriorly
