Pelvis ME

Question 1

Anterior innominate rotation

Answer 1

Supine, hip/knee flexed, grasp PSIS, patient pushes knee towards you

Question 2

Posterior innominate rotation

Answer 2

Supine, leg off table, hold opposite ASIS, patient lifts leg

Question 3

Superior PSIS, inferior ASIS

Answer 3

Anterior innominate rotation

Question 4

Superior ASIS, inferior PSIS

Answer 4

Posterior innominate rotation

Question 5

Outflare

Answer 5

On contralateral side, stabilize dysfunctional ASIS, dysfunctional leg crossed over the other, patient abduct and externally rotates

Question 6

Inflare

Answer 6

On ipsilateral side, hold contralateral SIS, leg in shape of “4” over the opposite leg’s knee, patient tries to lift ipsilateral knee towards contralateral side

Question 7

Superior innominate shear

Answer 7

At patient’s feet, contralateral foot against physician’s hip, pull ipsilateral leg down as the patient tries to hike it upwards

Question 8

Inferior innominate shear

Answer 8

Prone, ipsilateral leg off table, hip/knee flexed, foot against physician’s thigh, push superiorly on tubercle as patient pulls superiorly on table

Question 9

Superior pubic shear

Answer 9

Supine, ipsilateral leg abduct and flexed off the table, leg between physician’s legs, stabilize other ASIS, patient pulls up as physician resists

Question 10

Inferior pubic shear

Answer 10

Same as anterior innominate rotation

Question 11

Pubic symphysis reset

Answer 11

Flexed hip/knee, patient pushes outward and then inward