Palpating Practical 2 Flashcards
Anterior superior iliac spine (ASIS)
partner standing. Place hands on side of abdomens below umbilicus work down iliac spine until you feel the edge
Anterior inferior iliac spine (AIIS)
have partner lay supine. flex the hip (lift leg straight up_
find ASIS, slide inferiorly and medially about an inch. It’s deep to some small tendons
Iliac crest
find ASIS and follow it up and back until PSIS
Iliac fossa (will only be able to palpate the edges of this)
Partner lying supine (upright). Flex the hip by bolstering the knee. curl fingertips over the lip of iliac crest of anterior side
Posterior superior iliac spine
dimples in back
Sacrum
kind of in-between back dimples. Where your belt would be and down from there
Greater trochanter of femur
Have Gannon side lying. It’s right below hip and between thigh move knee medially laying down and it pops out
Pubic crest and tubercles (do not need to palpate)
just above private areas
Ischial tuberosity
your sits bones
Inguinal ligament
located on a line between ASIS and pubic tubercles
find pulse of femoral artery and move superiorly
Femoral triangle
state that it is bound superiorly by inguinal ligament, laterally by sartorius, and medially by adductor longus
inside NAVEL (inguinal ligament)
Rectus femoris
partner supine with bolster under knee and it’s straight up from your patella. Have Gannon lift leg off table (flex hip)
Vastus medialis
Have Gannon lie supine with a bolster under knee. Tell him to fully extend his knee. tear drop shape medial and superior to patella.
Vastus lateralis
Have gannon side lying. Place hand on lateral side of thigh while Gannon extends and relaxes his knee.
Biceps femoris/ semitendinous / semimembranous
Have Gannon lay prone. Have Gannon flex his knee and you’ll feel the whole hamstring compartment. It’s more lateral than semi membranous and semitendinous
know the vicinity of adductor longs, gracilis and pectinius
pectinous is a small muscle up at the top most lateral and it goes about to the middle of femur (its upper inner leg )
adductor longis is the next most medial above knee on medial side move up on inner leg
gracilis is the most medial… it connects to pubic symphisis
Tensor fasciae latae and iliotibial tract
Have Gannon side lie. Go posterior and distal to ASIS and have Gannon medially rotate lip and relax. Thats tensor fascia latae right under the hip.
For iliotibial tract have him lift the top leg and feel above the lateral knee the superficial and stringy fibers
Sartorius
Have landon lie on his back. Bend his knees up, and then cross one over the other. Have him resist me pulling his bent leg towards his hip. starts at ASIS and inserts into tibia
Iliopsoas
Side lying between ASIS and navel. It’s deep and goes more at a diagnal opposite of your V
Tibial tuberosity
directly underneath under patella. Its where patella ligament inserts -its that boney prominance. If you move left or right there’s caves
Shaft of the tibia
continue down from the tibial tuberosity and its the big bone
Head of the fibula
lateral epicondyle of knee, slide down three inches.
“Hills on Both Sides” explain condyles of knee from epicondyles of knee
condyles are the curved region, epicondyle are far medial or lateral side
Medial femoral condyle
Its on the knee itself on the medial side. Move medially from medial epicondyle- sometimes flexion can help you feel this rounded area
Lateral femoral condyle
its on the knee itself its on the lateral side
“move medially from lateral epicondyle. Sometimes flexing knee can help you feel this rounded area”
Medial femoral epicondyle
the boney ridge on the medial side of knee (not on the knee itself)
lateral femoral epicondyle
the boney ridge on the lateral side of knee (not the knee itself)
lateral rotators
have Gannon prone - these are on the top middle of one buttcheek and have him lateral rotate
Medial tibial plateau
go to patellar ligament and feel the edges (inferior to knee)- bend the knee and straighten the knee and you should feel the joint space
Lateral tibial plateau
go to patellar ligament and feel the edges go to the lateral dip bend the knee and straighten the knee and you should feel the edges
Pes anserinus
goto tibial tuberosity and theres a flat area there- medial side and feel for tenderness
meniscus
goto tibial plateau and medially rotate the knee. Bend knee and medially rotate
Sustentaculum tali
the bump directly under the medial malleolus . Its on your calcaneous
Peroneal trochlea
the bump under the lateral malleolus
its on your calcaneous
Tuberosity of calcaneus
very tip of the back of your heel
base of the heel, large flat bump
Malleolar grooves
wrote down they are jus the grooves on the back of each malleolus
Adductor tubercle
on femur, above pes anserinus, on medial side, strum to feel tendon
head of talus
two inches towards toes from medial malleolus. So its kinda at a diagonal angle down and forwards on inner foot and is a bump
Trochlea of the talus
(between both maleolli on top, more lateral)- goto the head of the tulus, and them move a little bit laterally
Tuberosity of the 5th metatarsal
lateral bump at base of pinky toe metatarsal
How to find medial, middle and lateral cuneiform
medial = base of 1st metatarsal middle = base of 2nd metatarsal lateral = base of 3rd metatarsal
Navicular
proximal to medial cunieform
cuboid
base of metatarsal of pinky toe. Have Gannon plantar flex
Gastronemius
have landon lie prone (face down), go into plantar flexion and lift his ankle up a little. Push it down at the ankle and tell him to resist. Then you can feel it .
Soleus
Have landon lay on his stomach, with knee bents all the way to a 90 degree angle and feel deep to gastrin
Peroneus longus and brevis
Side laying. Between head of fibula and lateral malleolus. Evert foot (turn towards pinky toe) and feel about half way up on lateral side of fibula
tibialis anterior
invert foot and dorsiflex the ankle- find the tiba and its just barely lateral
Extensor digitorum longus
asiest to find by extending toes with socks off
primary extender of 2nd-5th toes
Extensor hallucis longus
find big toe and work backwards
FLEXORS OF THE ANKLE AND TOES
partner supine with leg bolstered. Feel in the space between medial malleolus and the achilles tendon and have partner invert
Extensor digitorum brevis
goto lateral malleolus and move forward an inch feel extended toes 2-4
Flexor digitorum brevis
palpate arch of foot with toes flexed
Abductor hallucis
medial side of foot and abduct
aspect of the first metatarsophalangeal joint.
Abductor digiti minimi
lateral side of foot and abduct
aspect of 5th Metatarsophalangeal joint
Medial meniscus
partner seated with knee flexed, place thumb above medial tibial plataue, have person medially rotate knee
Medial meniscus
partner seated with knee flexed, place thumb above medial tibial plataue, have person medially rotate knee
head of the talus
medial malleolus move towards toes an inch
medial tuberosity of the talus
45 degree angle behind the medial malleolus
trochlea of talus
on top in between medial and lateral malleolus, but more towards the lateral side
Malleolar grooves
between calcaneal tendon and EITHER medial OR lateral malleolus
