Pelvis Lecture Flashcards
What is generally the overall cause of SIJ pain/dysfunction ?
Overloading if surrounding soft tissue/muscle
What 6 tests should be clustered together for SIJ testing
- Gaenslens year
- Distraction
- Compression
- Sacral thrust
- Femoral shear test
- FABER
3 common MOI for groin injuries
- Kicking
- Rapid acceleration
- COD
What are the 5 clinical entities causing groin pain
- Adductor
- Iliopsoas
- Inguinal
- Pubic
- Hip
What 3 things may be assessed with a Thomas test and how ?
- Rec fem length - knee F or E
- Iliopsoas length - position of femur
- Abductor length - pt maintains abduction of femur
Three objective tests for adductor injury
- Palpation
- Adductor squeeze
- Adductor stretch
How can inguinal related groin pain be tested (2)?
- Resisted trunk flexion
2. Pain on coughing, sneezing
What are three management principles of pubic related groin pain
- Unload and progressively reload
- Target deficits
- Careful screening of red flags
Two common causes of true buttock pain
- Myofascial buttock pain
2. Proximal H/S tendinopathy
2 common objective findings of Myofascial buttock pain
- Reduced Glute strength
2. Tender and increased tone on palpation
What movement is strongly implicated with proximal H/S tendinopathies?
- repeated hip flexions
Define form closure
Closing or stability force or the ligaments
Define force closure
Closing or stabilising forces of the muscles
What idea relates to the outer unit of the force closure of the pelvis
- sling idea of the back and pelvis
What is the posterior oblique sling ?
Glute max + contralateral Lat Dorsi
