OMM 7 Lower Extremity CS

Question 1

Describe the tp location and treatment position for lateral trochanter

Answer 1

Along the IT band, distal to the greater trochanter.

Pt. prone or on side. Moderate Abduction of the thigh with slight flexion

Question 2

Describe the tp location and treatment position for biceps femurs (lateral ham)

Answer 2

Posterior thigh, about halfway down femur, Lateral to midline.

Prone. Flexion of the knee. External rotation and slight Abduction of the tibia. Plantar flexion of the ankle by compression on the calcaneus.

Question 3

Describe the tp location and treatment position for semi-membranosous (medial ham)

Answer 3

Posterior thigh, about halfway down femur, Medial to midline.

Prone. Flexion of the knee. Internal rotation and slight adduction of the tibia. Plantar flexion of the ankle by compression of the calcaneus.

Question 4

Describe the tp location and treatment position for medial meniscus

Answer 4

Anteromedial aspect of the meniscus along the joint line.

Supine. Moderate knee flexion. Internal rotation and slight adduction of the tibia.

Question 5

Describe the tp location and treatment position for lateral meniscus (popliteus)

Answer 5

Lateral aspect of the meniscus along the joint line.

Supine. Moderate knee flexion. Slight abduction of the tibia. Fine tune with external (or internal) rotation.

Question 6

Describe the tp location and treatment position for navicular

Answer 6

Plantar surface of the navicular bone. (Medial aspect, roughly 1/3 down from heel with patient in prone position).

Prone. Plantar flexion, Supination, Inversion.

Question 7

Describe the tp location and treatment position for flexion calcaneous

Answer 7

Anterior aspect of the calcaneus on the plantar surface of the foot at the attachment of the plantar fascia. (Midline, lowest part of true Heel with patient in prone position)

Prone. Marked flexion of the forefoot. Approximate the forefoot to the calcaneus.

Question 8

Describe the tp location and treatment position for medial ankle (tibialis anterior)

Answer 8

Inferior to the medial malleolus along the deltoid ligament

LR with Pillow elevating ankle, affected side up. Place a fulcrum on the medial aspect of the ankle. Apply an inversion force with slight shear. (Basically introduce the classic basketball ankle roll with inversion, supination, and plantar flexion.

Question 9

Describe the tp location and treatment position for lateral ankle (fibularis)

Answer 9

Inferior and anterior to the lateral malleolus in the sinus tarsi (talocalcaneal sulcus).

LR with Pillow elevating ankles, affected side down. Place a fulcrum on the lateral aspect of the ankle. Apply an eversion force with slight shear. (exact opposite of inversion roll).

Question 10

Describe the tp location and treatment position for Gastroc

Answer 10

Within the proximal gastrocnemius muscles distal to the popilteal margin. (Basically a couple fingers width below the knee, in either head of the gastroc).

Pt. Prone. Knee flexion with marked plantar flexion of the ankle.