Pelvis, Pubes, and Sacrum Q&A Session Flashcards

1
Q

Viscero-somatic levels of the pelvis?

A

T10-L2

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2
Q

Right ASIS is superior, right PSIS inferior, standing flexion test is positive on the left…. dx?

A

Left anterior innominate rotation

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3
Q

Left inferior pubic rami… dx?

A

Left inferior pubic shear

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4
Q

Left on right sacrum… spring/backward bending test?

A

Positive

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5
Q

Left on right sacrum… sacral sulci?

A

Anterior on the right

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6
Q

Left on right sacrum… ILA?

A

Inferior on the right

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7
Q

Viscerosomatics… facilitation at levels T10-T12 correspond to which structures?

A

correspond to uterus and ovaries

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8
Q

R standing flexion, L ASIS superior, R PSIS inferior, R pubic symphysis inferior… pelvic dx?

A

Right inferior innominate shear (“only right hand should move when doing shadow hands”)

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9
Q

R standing flexion test, R ASIS inferior, R PSIS superior , R pubic symphysis inferior…. dx?

A

Right anterior innominate rotation

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10
Q

L posterior innominate rotation… findings?

A

L ASIS superior, + L standing flexion test, R PSIS superior (“implies inferior L PSIS), L pubic symphysis superior

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11
Q

L superior innominate shear… findings?

A

+ L standing flexion test, L ASIS superior, R PSIS inferior, R pubic symphysis inferior

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12
Q

R lateral innominate flare… findings?

A

+ R standing flexion test, L ASIS medial ….

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13
Q

Three options for pubic dx?

A

1) superior shear
2) inferior shear
3) compression (tender pubic tubercles)

What do all three of these have in common? bilateral ASIS and PSIS have to be level

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14
Q

What do we need to come up with a sacral dx?

A

Seated flexion test (“side that is stuck…positive on the side of the dysfunction…ilium that moves first/fastest is the dysfunctional side”)

Backward bending / spring test (is the sacrum flexed or extended? … positive backward bending test = sacrum is extended)

Landmarks (sacral sulci, ILA’s… these can be anterior or posterior, aka deep or shallow respectively)

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15
Q

Extended sacrum (positive backward bending)?

A

Torsion - X on Y

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16
Q

Flexed sacrum (negative backward bending)?

A

Torsion - X on X

17
Q

+ L seated flexion test, L sacral sulci anterior, L ILA anterior, (-) spring test… sacral dx?

A

R on R sacral torsion

18
Q

+ R seated flexion test, R sacral sulci posterior, (+) spring test

A

R unilateral extension (or R on L???)

19
Q

Four “things” we look at for the sacrum?

A

seated flexion
spring test
motion testing
static landmarks

20
Q

L5 rule:

A

Rotation is always OPPOSITE of the rotation

Next, we ask about type 1 or type 2

21
Q

Forward sacral torsion… what is L5 doing?

A

Type 1 mechanics (neutral)

22
Q

“L5 has a diagnosis that is consistent with type II mechanics…flexed RR SR… what is the most likely sacral diagnosis?”

A

sacrum is L on R