Orthopedic Diagnosis: Palpations & ROM Flashcards
Soft Tissue Palpation of the Hip and Pelvis
- Femoral triangle borders
- Sartorius
- Adductor longus
- Inguinal ligament
- Quadriceps muscles
- Vastus lateralis
- Vastus medialis
- Vastus intermedius
- Rectus femoris
- Gluteus maximus
- Gluteus medius
- Greater trochanteric bursa
- Sciatic nerve
- Cluneal nerve
- Hamstrings:
- Biceps femoris
- Semitendinosus
- Semimembranosus
Range of Motion of the Foot and Ankle
- Ankle dorsiflexion = 20°
- Ankle plantarflexion = 50°
- Subtalar inversion = 5°
- Subtalar eversion = 5°
- 1st Metatarsophalangeal joint flexion
- 1st Metatarsophalangeal joint extension
Soft Tissue Palpation of the Cervical Spine
- Sternocleidomastoid
- Anterior lymph node chain
- Posterior lymph node chain
- Thyroid gland
- Carotid pulse
- Supraclavicular fossa
- Trapezius
- Greater occiptal nerves
- Superior nuchal ligament
Soft Tissue Palpation of the Lumbar Spine
- Paraspinal muscles superficial layer
- Spinalis
- Longissimus
- Iliocostalis
- Gluteus maximus
- Gluteus medius
- Sciatic nerve
- Hamstrings
- Biceps femoris
- Semitendinosus
- Semimembranosus
- Anterior abdominal muscles
Bony Palpation of the Shoulder
- Sternoclavicular articulation
- Clavicle
- Acromioclavicular articulation
- Acromion
- Spine of the scapula
- Body of the scapula
- Scapulothoracic articulation
- Coracoid process
- Greater tuberosity of the humerus
- Lesser tuberosity of the humerus
- Bicipital groove
Range of Motion of the Elbow
- Elbow flexion = 150°
- Elbow extension = 0°
- Forearm supination = 80°
- Forearm pronation = 80°
Range of Motion of the Hip and Pelvis
- Hip flexion = 120°
- Hip extension = 30°
- Hip abduction = 45°
- Hip adduction = 45°
- Hip internal rotation = 45°
- Hip external rotation = 45°
- Flexion and Adduction
- Flexion, Abduction and External rotation
Bony Palpation of the Cervical Spine
- Hyoid bone
- Thyroid cartilage
- First cricoid ring
- Body of the mandible
- Angle of the mandible
- Ramus of the mandible
- Occiput
- Inion aka External Occipital Protuberance (EOP)
- Superior nuchal line
- Mastoid processes
- Spinous process of cervical vertebra
- Facet joints
Range of Motion of the Wrist and Hand
- Wrist flexion = 80°
- Wrist extension = 70°
- Wrist ulnar deviation = 30°
- Wrist radial deviation = 20°
- Thumb flexion
- Thumb extension
- Finger flexion
- Finger extension
- Finger abduction
- Finger adduction
- Finger opposition
Soft Tissue Palpation of the Knee
- Quadriceps muscles:
- Vastus lateralis
- Vastus medialis
- Vastus intermedius
- Rectus femoris
- Medial collateral ligament
- Pes anserine area:
- Sartorius
- Gracilis
- Semitendinosus
- Medial meniscus
- Lateral meniscus
- Infrapatellar tendon
- Prepatellar bursa
- Superficial infrapatellar bursa
- Popliteal fossa
- Lateral collateral ligament
- Gastrocnemius
Soft Tissue Palpation of the Wrist and Hand
- Radial artery
- Ulnar artery
- Palmaris longus
- Carpal tunnel region
- Thenar eminance
- Hypothenar eminance
- Palmar aponeurosis
- Tissue surrounding proximal interphalangeal joints
- Tissue surrounding distal interphalangeal joints
- Distal tufts of fingers
Bony Palpation of the Wrist and Hand
- Radial styloid process
- Scaphoid aka Navicular
- Lunate
- Lister’s tubercle aka Dorsal tubercle
- Capitate
- Ulnar styloid process
- Triquetrium
- Pisiform
- Hook of hamate
- Trapezium
- Trapezoid
- Metacarpals
- Phalanges
Soft Tissue Palpation of the Elbow
- Supracondylar lymph nodes
- Brachial artery
- Medial collateral ligament
- Ulnar nerve
- Olecranon bursa
- Lateral collateral ligament
- Biceps
- Triceps
- Wrist flexor muscles
- Pronator teres
- Flexor carpi radialis
- Palmaris longus
- Flexor carpi ulnaris
- Elbow flexor muscles aka Mobile wad of three
- Brachioradialis
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
Bony Palpation of the Hip and Pelvis
- Anterior Superior Iliac Spine (ASIS)
- Iliac crest
- Iliac tubercle
- Greater trochanter
- Posterior Superior Iliac Spine (PSIS)
- Ischial tuberosity
- Coccyx
Range of Motion of the Shoulder
- Shoulder forward flexion = 180°
- Shoulder extension = 60°
- Shoulder abduction = 180°
- Shoulder adduction = 50°
- Shoulder external rotation = 90°
- Shoulder internal rotation = 70°
- Scapular retraction
- Scapular protraction
- Scapular elevation
Bony Palpation of the Foot and Ankle
- Calcaneus
- Lateral malleolus
- Medial malleolus
- Sustentaculum tali
- Talus
- Navicular
- Cuboid
- 3 Cuneiforms
- 5 Metatarsals
- Metatarsophalangeal joints
Range of Motion of the Cervical Spine
- Cervical spine flexion = 50°
- Cervical spine extension = 60°
- Cervical spine lateral bending right = 45°
- Cervical spine lateral bending left = 45°
- Cervical spine left rotation = 80°
- Cervical spine right rotation = 80°
Range of Motion of the Lumbar Spine
- Lumbar spine flexion = 25°
- Lumbar spine extension = 30°
- Lumbar spine left lateral bending = 25°
- Lumbar spine right lateral bending = 25°
- Lumbar spine left rotation = 30°
- Lumbar spine right rotation = 30°
Soft Tissue Palpation of the Shoulder
- Rotator cuff muscles
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
- Subacromial bursa
- Subdeltoid bursa
- Axillary borders
- Pectoralis major
- Serratus anterior
- Axillary lymph nodes
- Latissimus dorsi
- Bicipital tendon
- Sternocleidomastoid
- Biceps
- Deltoid
- Anterior portion
- Middle portion
- Posterior portion
- Trapezius
- Rhomboid minor
- Rhomboid major
Bony Palpation of the Lumbar Spine
- Posterior Superior Iliac Spine (PSIS)
- Iliac crest
- Lumbar spinous processes
- Sacral tubercles
Soft Tissue Palpation of the Foot and Ankle
- Achilles tendon
- Tibialis anterior tendon
- Tibialis posterior tendon
- Peroneus brevis
- Anterior talofibular ligament
- Spring ligament
- Deltoid ligament
- Posterior tibial artery
- Dorsal pedal artery
- Plantar aponeurosis
Bony Palpation of the Elbow
- Medial supracondylar line of the humerus
- Medial epicondyle
- Groove of the ulnar nerve
- Trochlea
- Olecranon
- Olecranon fossa
- Lateral epicondyle
- Lateral supracondylar line of the humerus
- Radial head
Bony Palpation of the Knee
- Medial femoral condyle
- Medial tibial plateau
- Patella
- Tibial tuberosity
- Lateral femoral condyle
- Lateral tibial plateau
- Fibula head
Range of Motion of the Knee
- Knee flexion = 135°
- Knee extension = 0°
- Knee internal rotation
- Knee external rotation