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MSK 2 > Pelvis/SIJ Classification/Diagnoses > Flashcards

Pelvis/SIJ Classification/Diagnoses Flashcards

1
Q

Location of Symptoms: Ilio-Sacral Disorders & Sacro-Iliac Disorders

A

SI local or referral pattern

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2
Q

Anterior Innominate

Agg Factors

A

Gait

Stair Descent

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3
Q

Posterior Innominate

Agg Factors

A

Gait

Stair Ascent

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4
Q

Inflare Innominate

Agg Factors

A

Gait

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5
Q

Outflare Innominate

Agg Factors

A

Gait

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6
Q

Upslip Innominate

Agg Factors

A

Gait

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7
Q

Downslip Innominate

Agg Factors

A

Gait

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8
Q

Anterior Innominate

Ease Factors

A

Hip Flexion

NWB

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9
Q

Posterior Innominate

Ease Factors

A

Hip Extension

NWB

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10
Q

Inflare Innominate

Ease Factors

A

Hip IR

NWB

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11
Q

Outflare Innominate

Ease Factors

A

Hip ER

NWB

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12
Q

Upslip Innominate

Ease Factors

A

NWB

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13
Q

Downslip Innominate

Ease Factors

A

NWB

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14
Q

Anterior Innominate

History

A

Activity Related: kicking soccer ball

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15
Q

Posterior Innominate

History

A

Activity Related: slipping on ice with one LE forward

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16
Q

Inflare Innominate

History

A

Activity Related: hip in end range IR

Ex. plant leg when kicking soccer ball while cutting

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17
Q

Outflare Innominate

History

A

Activity Related: hip in end range ER

Ex. Ballet dancer

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18
Q

Upslip Innominate

History

A

Activity Related: Step off curb with knee straight

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19
Q

Downslip Innominate

History

A

Trauma: being pulled by 1 LE
Ex. Foot caught in stirrup when falling off running horse
Ex2. A bad guy jerking your leg back when you try to run away

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20
Q

ROM Testing with all Ilio-Sacral Disorders

A

Decreased mobility with unilateral Squish

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21
Q

6 Ilio-Sacral Disorders

A

Anterior/Posterior Innominate
Inflare/Outflare Innominate
Upslip/Downslip Innominate

(Innominates moving on fixed sacrum)

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22
Q

Anterior/Posterior Innominate

Special Tests

A

+Gillet’s
+SFB Test
+long sitting test (aka supine to sit test)

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23
Q

Inflare/Outflare Innominate

Special Tests

A

+Inflare/Outflare Test

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24
Q

Upslip/Downslip

Special Tests

A

+Gillet’s

+SFB Test

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25
Q

Anterior Innominate

Muscle Length

A

Chronic=Shortened Hip Flexors

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26
Q

Posterior Innominate

Muscle Length

A

Chronic=Shortened Hams

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27
Q

Outflare

Muscle Length

A

Chronic=Shortened Gluts

28
Q

Upslip

Muscle Length

A

Chronic=Shortened QL

29
Q

4 Sacro-Iliac Disorders

A

Sacral Torsion
Instability
Locking
Degeneration

(Sacrum moving on fixed Ilium)

30
Q

Instability

Profile

A

Female post-pregnancy

31
Q

Locking

Profile

A

Post Trauma

32
Q

Degeneration

Profile

A

Chronic SIJ Pain

33
Q

Sacral Torsion

Agg Factors

A

Gait
Lumbar Rotation
CKC Rotation activities

34
Q

Instability

Agg Factors

A

Turn over in bed
Lumbar Rotation
Getting in/out of cars (transitional movements)

35
Q

Locking

Agg Factors

A

Gait

Lumbar Rotation

36
Q

Degeneration

Agg Factors

A

WB and movement

37
Q

Sacral Torsion

Ease Factors

A

NWB

38
Q

Instability

Ease Factors

A

Tight pants/belt

39
Q

Locking

Ease Factors

A

Being still without moving

40
Q

Degeneration

Ease Factors

A

NWB

Decreased movement

41
Q

Sacral Torsion

History

A

Incidious onset (piriformis tightness)
Traumatic
Activity Related

42
Q

Instability

History

A

Recent Childbirth
Trauma
c/o frequent “popping”

43
Q

Locking

History

A

Trauma

Sudden jarring of pelvis

44
Q

Degeneration

History

A 
Early onset ankylosing spondylitis
RA
Post lumbar fusion
Hip arthritis
Leg length discrepancy
Infection
45
Q

Sacral Torsion

ROM

A

normal mobility with forward (flexed) sacral torsion

Stiffness with backward (extended) sacral torsion

46
Q

Instability

ROM

A

Normal, but guarded due to pain

47
Q

Locking

ROM

A

Severely limited on involved side

48
Q

Degeneration

ROM

A

Limitation with all AROM

Severely limited if progressed to SIJ fusion

49
Q

Sacral Torsion

Special Tests

A

+Seated forward bend test

+prone on elbows test

50
Q

Instability

Special Tests

A

Excessive motion of SIJ compared to other side

51
Q

Locking

Special Tests

A

+Seated/Standing forward bend test

Decreased motion with unilateral squish test

52
Q

Degeneration

Special Tests

A

+Provocation tests

53
Q

Sacral Torsion

Palpation

A

prone on elbows:
anterior torsion=deep sacral sulcus
posterior torsion=shallow sacral sulcus

54
Q

Instability

Palpation

A

Painful SIJ

Inconsistent landmark palpation

55
Q

Locking

Palpation

A

Painful SIJ

56
Q

Degeneration

Palpation

A

Painful SIJ

57
Q

Sacral Torsion

Muscle Length

A

Tight piriformis with anterior torsion

58
Q

Instability

Muscle Strength

A

Decreased TrA and Glut Strength

59
Q

Locking

Muscles

A

muscle spasm possible around involved SIJ due to pain

60
Q

Suspect SIJ disorder if ____of 6 provocation tests are +

A

3+/6

61
Q

Gold standard to diagnose SI dysfunction

A

SIJ Fluoroscopic Block

62
Q

Function of SIJ

A

Transfer load
Absorb LE motino
Stability

63
Q

Nutation

A

Flexed Sacrum

Sacral base more anterior

64
Q

Counternutation

A

Extended Sacrum

Sacral base more posterior

65
Q

Sacral Torsions

A

Anterior/Posterior
(Anterior=base forward, posterior=base backward)

Left/Right
Named for direction that front of sacrum is facing

MSK 2 (16 decks)

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