MS2 - Leg Periosteum Flashcards by Amy Hildebrandt

PERIOSTEUM SCAN

At STL in Bone Row -

Periosteum (A/P) - Can Bias

Cervical btwn mid-frontal ridge and coronal suture

Scar 30 degree P/A

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CSS1 TX

MAXL
Over lat aspect zygomatic process of maxilla (med to zygomaticomaxillary suture)

App inf to sup

MAXL - Periosteum LQ
Glide: Ipsi Maxilla (via Frontal Process) sup, contra, slightly ant away

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Femoral Neck Compression Dysfunction
FEMC(P)-MS

TP#1: Over lat aspect of mid ischiopubic ramus
TP#2: Distal fibers of Ipsi Rectus Abdominus, approx 2F above pubic bone

TX: Client supine in figure 4 position
Hip Flexion, ABD, and ER: Mod
Compression: Of Greater Trochanter sup-med along femoral neck axis

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Femoral Neck Distraction Dysfunction
FEMD(P)-MS

TP: Over ant aspect of prox femur, 2F med to ant-sup aspect of Greater Trochanter (under Tensor Fascia Lata)

TX: Client lying partially on OPP hip in figure 4 position
Distraction: Of prox / mid femur in plane of femoral neck

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Femoral Varus Dysfunction
FVAR(P)-MS

TP: Deep to med Sartorius tendon (lat to AIIS), probe deeply post and med to tendon to identify

TX: Client supine
Hip ADD: Mild
Hip Flexion: Mod (typically 80-90 degrees)
Hip ER: Marked
Femoral Compression: Long axis, through femur / knee, mod, post-lat

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Femoral Valgus Dysfunction
FVAL(P)-MS

TP: Deep to lat aspect of Sartorius tendon (lat to AIIS), probe deeply lat to tendon, in a post med direction to identify

TX: Client supine
Hip ABD, Flex and ER: Mod
Femoral Traction: Mod, in plane of femur

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Femoral Flexion Dysfunction
FEMF(P)-MS

TP: Over ant-lat border of prox femur, 2F inf to Greater Trochanter

TX: Client supine, knee flexed resting on table
Hip Flexion: Mod
Knee Flexion: Marked
Femoral Flexion Stress: Via deep post-med to ant-lat pressure (apply pressure on involved 1/2 of femur)

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Femoral Extension Dysfunction
FEME(P)-MS

TP: Over post-lat border of prox femur, 2F inf to Greater Trochanter

TX: Client supine, calf resting on therapist’s knee
Knee: Ext / hyperext
Femoral Ext Stress: Via deep ant-med to post-lat pressure

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Tibia, Medial Plateau Dysfunction TIBPM(P)-MS

TP: Deep in Popliteal Fossa on base / ant most aspect of Lat Femoral Condyle

App post-med to ant-lat

TX: Client supine, ankle resting and braced on table
Knee: Flex mild to mod, Valgus marked
Knee IR / ER: Mildly to fine tune

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Tibia, Lateral Plateau Dysfunction
TIBPL(P)-MS

TP: Deep in Popliteal Fossa on base / ant most aspect of Med Femoral Condyle

App post-lat to ant-med

TX: Client supine, ankle resting and braced on table
Knee: Flex mild to mod, Varus marked
Knee IR / ER: Mildly to fine tune

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Patello-Femoral Inflare Dysfunction
PFIM(P)-MS

TP: Over sup-med and sup-lat aspects of trochlear groove

App ant to post

TX: Client supine. Therapist grasps corresponding med / lat femoral condyle from behind knee
Compression: Of med / lat epicondyles (twd center) to narrow femoral notch

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Patellar Flexion Dysfunction
PATF(P)-MS

TP: On both med and lat aspect of inf patella (post surface)

App post to ant

TX: Client supine or seated with knee ext
Compression / Post Glide: Of lat edges of patella in inf-lat direction (utilizing pincer grip)

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Patellar Extension Dysfunction
PATE(P)-MS

TP: On both med and lat aspect of sup patella (post surface)

App post to ant

TX: Client supine or seated with knee ext
Distraction / Ant Glide: Sup-lat aspect of patella bilaterally (utilizing pincer grip)

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Fibular Internal Torsion Dysfunction
FIT(P)-MS

TP: Over ant-med aspect of distal fibula in distal tibiofibular joint line

App med to lat

DTX: Client supine or seated. Therapist grasps ankle at talus/mid foot
Hip IR: Marked
Fibular IR: Of foot / fibula. Fine tune with ankle DF / PF

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Fibular External Torsion Dysfunction
FET(P)-MS

TP: Over post-med aspect of distal fibula in distal tibiofibular joint line

App med to lat

TX: Client supine or seated. Therapist grasps ankle at talus / mid foot
Hip ER: Marked
Fibular ER: Of foot / fibula. Fine tune with ankle DF / PF

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Fibular Flexion Dysfunction
FIBF(P)-MS

TP: Over sup 1/3 of ant-lat aspect of fibula

App ant-lat to post-med

TX: Client supine or seated
Knee: Flex
Ankle Plantar Flex: Active or passive, marked
Glide: Mid-fibula in ant-lat and sup direction

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Fibular Extension Dysfunction
FIBE(P)-MS

TP: Over sup 1/3 of post-lat aspect of fibula

App post-lat to ant-med

TX: Client supine or seated
Glide: Mid-fibula in post-lat and inf direction

Tibial Internal Torsion Dysfunction
TIT(P)-MS

TP: Over post-lat aspect of dist tibia in dist tibiofibular joint line

App lat to med

TX: Client supine or seated. Therapist grasps ankle at talus/mid foot
Hip IR: Marked
Tibial IR: Of foot/ tibia, fine tune with ankle DF / PF

Tibial External Torsion Dysfunction
TET(P)-MS

TP: Over ant-lat aspect of dist tibia in dist tibiofibular joint line

App lat to med

TX: Client supine or seated. Therapist grasps ankle at talus/mid foot
Hip ER: Marked
Tibial ER: Of foot / tibia. Fine tune with ankle DF / PF

Varus Deformity of the Tibia
TVAR(P)-MS

TP: Over ant-sup aspect of Medial Malleolus of Tibia

App med to lat

TX: Client supine with med tibia resting on edge of table
Varus Stress: Applied to tibia through ankle
IR: Of ankle on tibia, mildly

Valgus Deformity of the Tibia
TVAL(P)-MS

TP: Over post-sup aspect of Medial Malleolus of Tibia

App med to lat

TX: Client supine, leg resting on therapist’s knee
Valgus Stress: Applied to tibia through ankle
ER: Of ankle on tibia, mildly

Flexed Tibia Periosteal Dysfunction
TIBF(P)-MS

TP: In post, sup belly of Tibialis Posterior mm. located in sup calf btwn prox tibia and fibula (below level of Tibial Tuberosity)

App post to ant

TX: Client supine with knee flexed, foot resting on table
Glide: Tibia ant and lat

Extended Tibia Periosteal Dysfunction
TIBE(P)-MS

TP#1: Over ant-med aspect of distal tibia

App ant to post

TP#2: Over post-inf Soleus / tibia level of musculotendinous junction of Soleus mm (1-2 cm prox to Achilles tendon)

App post to ant

TX: Client supine with ankle resting on a towel roll or operator’s heel
Glide: Tibia in a post and lat direction

Talar Inversion Dysfunction
TALI(P)-MS

TP: Over ant, inf-med end of distal tibia

App inf to sup

TX: Client supine or seated
Ankle Inv: Marked
IR: Of foot on tibia, marked

**Talar Eversion Dysfunction** **TALE(P)-MS** **TP**: Over post sup Talus 1 cm inf to post end of tibia App med to lat

**TX**: Client supine or seated **Ankle Ev**: Marked **Ankle PF**: Mild **ER**: Of foot on tibia, marked

**Calcaneal Eversion Dysfunction** **CALCE(P)-MS** **TP**: Over post 1/3 of inf-lat calcaneus App lat to med

**TX**: Client supine or seated **Ankle**: DF mod **Subtalar/Calcaneal**: Ev and ER of calcaneus on talus **Calcaneal Distraction**: Into DF, marked

**Navicular Inversion Dysfunction** **NAVI(P)-MS** **TP**: Over dorsal / sup aspect of (med) Navicular Tuberosity

**TX**: Client supine or seated. Therapist grasps med, prox metatarsals **Metatarsal Inv / Mid-foot Varus**: Marked

**Navicular Eversion Dysfunction** **NAVE(P)-MS** **TP**: Over plant/inf aspect of (med) Navicular Tuberosity

**TX**: Client supine or seated. Therapist grasps med, prox metatarsals **PF**: Of ankle **Metatarsal Ev /Mid-foot Valgus**: Marked

**Cuboid Eversion Dysfunction** **CUBE(P)-MS** **TP**: Over post-med aspect of (lat) dorsal cuboid App sup to inf

**TX**: Client supine or seated, therapist grasps metatarsals **Valgus**: Distal forefoot more lat, fine tune with ankle DF / PF **Metatarsal**: Ev, marked

**Cuboid Inversion Dysfunction** **CUBI(P)-MS** **TP**: Over post-lat aspect of (lat) dorsal cuboid App sup to inf

**TX**: Client supine or seated. Therapist grasps metatarsals **Metatarsal / Mid-foot Varus**: Marked. Fine tune with ankle DF / PF

**Medial Cuneiform Inversion Dysfunction** **MCUNI(P)-MS** **TP**: Over dorsal, ant aspect of corresponding tarsal bone App sup to inf

**TX**: Client supine or seated. Therapist grasps 1st ray metatarsal bone **Metatarsal / Mid-foot Inv Varus**: Of mid-tarsal joint, fine tune with slight DF / PF

**Medial Cuneiform Eversion Dysfunction** **MCUNE(P)-MS** **TP**: Over dorsal, post aspect of corresponding tarsal bone App sup to inf

**TX**: Client supine or seated. Therapist grasps 1st ray metatarsal bone **Metatarsal /Mid-foot Ev**: Marked, fine tune with slight DF / PF

**Intermediate Cuneiform Inversion Dysfunction** **ICUNI(P)-MS** **TP**: Over dorsal, ant aspect of corresponding tarsal bone App sup to inf

**TX**: Client supine or seated, therapist grasps 2nd metatarsal bone **Metatarsal / Mid-foot Inv Varus**: Of mid-tarsal joint, fine tune with slight DF / PF

**Intermediate Cuneiform Eversion Dysfunction** **ICUNE(P)-MS** **TP**: Over dorsal, post aspect of corresponding tarsal bone App sup to inf

**TX**: Client supine or seated. Therapist grasps 2nd metatarsal bone **Metatarsal /Mid-foot Ev**: Marked, fine tune with slight DF / PF

**Lateral Cuneiform Eversion Dysfunction** **LCUNI(P)-MS** **TP**: Over dorsal, post aspect of corresponding tarsal bone App sup to inf

**TX**: Client supine or seated. Therapist grasps 3rd metatarsal bone **Metatarsal / Mid-foot Ev**: Marked Fine tune with slight DF / PF

**Lateral Cuneiform Eversion Dysfunction** **(LCUNE(P)-MS)** **TP**: Over dorsal, post aspect of corresponding tarsal bone App sup to inf

**TX**: Client supine or seated. Therapist grasps 3rd metatarsal bone **Metatarsal / Mid-foot Ev**: Marked, fine tune with slight DF / PF

**Dorsal Pronated / Eversion Dysfunction** **MTAR2-5(P)-MS** **TP**: Over dorsal/med surface of mid metatarsal bones, digits 2-5 App med to lat

**TX**: Client supine or seated. Therapist grasps associated proximal phalanx **Ankle Ev**: Marked **Digit Pro**: Of associated phalanx, marked

**Plantar Inverted Metatarsals/Supinated Dysfunction** **PLAN2-5(P)-MS** **TP**: Over plantar / med surface of mid metatarsal bones, digits 2-5 App med to lat

**TX**: Client supine, prone or seated. Therapist grasps associated proximal phalanx **Ankle PF**: Marked **Ankle Inv**: Marked **Digit Sup**: Of associated phalanx, marked

**Pronated / Everted 1st Metatarsal Dysfunction** **MTAR1(P)-MS** **TP**: Over lat aspect of lat sesamoid bone App lat to med

**TX**: Client supine or seated. Therapist grasps 1st phalanx **MTP**: Flexion **1st Phalanx Ev**: Marked **1st Phalanx ADD**: Twd second digit, marked

**Supinated / Inverted 1st Metatarsal Dysfunction** **PLAN1(P)-MS** **TP**: Over med aspect of med sesamoid bone App med to lat

**TX**: Client supine or seated. Therapist grasps 1st phalanx **1st Phalanx Inv**: Marked **1st Phalanx ABD**: Away from second digit, marked

**Hallux Abduction Dysfunction** **HALAB(P)-MS** **TP**: Over sup-med aspect of prox first metatarsal App sup-med to inf-lat

**TX**: Client supine or seated. Therapist grasps 1st phalanx **1st Phalanx ABD**: Away from second digit, marked **1st Phalanx Flex**: Moderate to marked

**Patello-Femoral Outflare Dysfunction** **PFOM(P)-MS** **TP**: Over inf-med and inf-lat aspects of trochlear groove App ant to post

**TX**: Client supine. Therapist grasps corresponding femoral condyle utilizing an ant approach **Traction**: Corresponding femoral condyle lat or med, away from center, to widen Femoral Notch