MS2 - Sternal and Manubrial Periosteum

Question 1

Periosteal Scan

Answer 1

Question 2

Sternal and Manubrial TPs

Answer 2

Question 3

Manubrial Extension Dysfunction
MANE(P)

TP: Sup, ant aspect of manubrium (ant aspect just below sternal notch at mid-line)

App ant to post

Answer 3

TX: Client supine
Glide: Upper sternum (below Angle of Louis) inf and right

Question 4

Manubrial Flexion Dysfunction
MANF(P)

TP: 1.5 to 2F inf to sup ant aspect of manubrium (ant aspect of sternal notch at mid-line)

App ant to post

Answer 4

TX: Client supine
Glide: Upper sternum (below Angle of Louis) sup and left

Question 5

Left Sternal Torsion Dysfunction
STTL(P)

TP: Mid-line sternum, at level of Second rib

App ant to post

Answer 5

TX: Client supine
Trunk: Lower trunk rot, in direction of sternal rot
Rot: Manubrium in direction of manubrial torsion via horizontal ADD of OPP arm to exaggerate rot

Question 6

Right Sternal Torsion Dysfunction
STTR(P)

TP: Mid-line sternum, at level of 3rd rib

App ant to post

Answer 6

TX: Client supine
Trunk: Lower trunk rot, in direction of sternal rot
Rot: Manubrium in direction of manubrial torsion via horizontal ADD of OPP arm to exaggerate rot

Question 7

Sternal Extension Dysfunction
STE(P)

TP: Mid-line sternum, at level of 4th rib

App ant to post (a horizontal band of fascia can often be palpated with a vertical snapping motion)

Answer 7

TX: Client supine
Glide: Midline sternum above xiphisternal junction, inf and right

Question 8

Sternal Flexion Dysfunction
STF(P)

TP: Mid-line sternum, at level of 5th rib

App ant to post (a horizontal band of fascia can often be palpated with a sup to inf snapping motion)

Answer 8

TX: Client supine
Glide: Midline sternum at xiphisternal junction, sup and left (exaggeration of flex deformity)