PALPATIONS

Question 1

Describe how to locate the ASIS by palpation

Answer 1

Most prominent bump of bone
- Inguinal lig and TFL attach

Question 2

Describe how to locate the iliac crest

Answer 2

Work two open hands down the waist until you feel bony crest

Question 3

Describe how to locate the pubic tubercle

Answer 3

• Sensitive area (Ask for consent)
• Most lateral part of pubic crest
• Inguinal lig attaches to it

Question 4

Describe how to locate the pubic symphysis

Answer 4

• Sensitive area (ask for consent)
• Test for movement by placing a finger either side of the joint and walking

Question 5

Describe how to locate the pubic crest

Answer 5

• Runs between the pubic tubercle + pubic symphysis
• Rectus abdominis originates here

Question 6

Describe how to locate the iliopsoas

Answer 6

• Difficult to palpate
• Patient to lay on their back
• Palpate deeply where the muscles cross the inferior pelvis under the Inguinal lig
• Gently flex the hip to feel iliopsoas contracting under your finger tips

Question 7

Describe how to locate Psoas minor

Answer 7

• Difficult to palpate
• Just below the Inguinal lig
• Medial to Iliacus

Question 8

Describe how to locate the Inguinal lig

Answer 8

• Difficult to palpate
• It is along a straight line between the ASIS and pubic tubercle
• Just the lower border of the abdominal muscles such as the external oblique

Question 9

Describe how to locate rectus abdominis

Answer 9

-Origin: pubic symphysis, pubic crest
- Insertion: xiphoid process, costal cartilages of ribs 5-7

• Vertical midline is linea alba
• Rectus sheath = aponeurotic sheet of CT that envelops it and is part of the thoracolumbar fascia

Question 10

Describe how to locate sartorius

Answer 10

• Difficult to palpate
• Very long and thin
• Seen when you sit cross legged
• Cuts across the thigh more proximally
• Origin: ASIS
• Insertion: pes anserinus

Question 11

Describe how to locate AIIS

Answer 11

• Difficult to palpate
• Very deep, so press firmly
• About 3cm below and a bit medial to ASIS
• Directly beneath sartorius

Question 12

Describe how to locate rectus Femoris

Answer 12

• Only quadricep that crosses the hip
• Midline throughout
• Seen as a “V” just above the vastus lateral is and medialis muscle
• Roughly 3cm below the AIIS
• More of a muscle bulk, lateral sartorius
• Keep leg straight
• Can feel the tendon 3cm below
• Slightly medially AIIS
• Origin: AIIS
• Insertion: Tibial tuberosity (via the patella)