Pube/Innominate/Sacrum Dx

Question 1

Left lateralization, left base is shallow/posterior with restricted movement, left ILA is S/A with good movement, positive backward bending test, positive spring test

Answer 1

left unilateral sacral extension

Question 2

Right lateralization, right base is shallow/posterior with restricted movement, right ILA is S/A with good movement, positive backward bending test, positive spring test

Answer 2

right unilateral sacral extension

Question 3

Right lateralization, right base is deep/anterior with good movement, right ILA is P/I with restricted movement, negative spring test

Answer 3

right unilateral sacral flexion

Question 4

L5 rotated right, right ILA is P/I with restricted movement, left base is deep/anterior with good movement, lateralization to the left, negative spring test

Answer 4

right rotation around right oblique axis with maladapted L5

Question 5

Right lateralization, right base is shallow/posterior with restricted movement, right ILA is P with poor movement, positive backward bending test, positive spring test

Answer 5

right sacral margin posterior

Question 6

Left lateralization, left base is deep/anterior with good movement, left ILA is P/I with restricted movement, negative spring test

Answer 6

left unilateral sacral flexion

Question 7

L5 rotated left, left ILA is A/S with good movement, right base is shallow/posterior with restricted movement, lateralization to the right, positive spring test, positive backward bending test

Answer 7

right on left sacral torsion, backward torsion

Question 8

L5 rotated left, right ILA is P/I with restricted movement, left base is deep/anterior with good movement, lateralization to the left, negative spring test

Answer 8

right on right sacral torsion, forward torsion

Question 9

Equal lateralization, both have anterior/deep bases with good movement, bilateral ILAs are restricted and posterior, negative spring test

Answer 9

bilateral sacral flexion

Question 10

Equal lateralization, both have posterior/shallow bases with restricted movement, bilateral ILAs are anterior with good movement, positive spring test

Answer 10

bilateral sacral extension

Question 11

L5 rotated right, left ILA is P/I with restricted movement, right base is deep/anterior with good movement, lateralization to the right, negative spring test

Answer 11

left on left sacral torsion, forward torsion

Question 12

L5 rotated right, right ILA is A/S with good movement, left base is shallow/posterior with restricted movement, lateralization to the left, positive spring test, positive backward bending test

Answer 12

left on right sacral torsion, backward torsion

Question 13

L5 rotated right, left ILA is A/S with good movement, right base is shallow/posterior with restricted movement, lateralization to the right, positive spring test, positive backward bending test

Answer 13

right rotation around left oblique axis with maladapted L5

Question 14

L5 rotated left, right ILA is A/S with good movement, left base is shallow/posterior with restricted movement, lateralization to the left, positive spring test, positive backward bending test

Answer 14

left rotation around right oblique axis with maladapted L5

Question 15

L5 rotated left, left ILA is P/I with restricted movement, right base is deep/anterior with good movement, lateralization to the right, negative spring test

Answer 15

left rotation around left oblique axis with maladapted L5

Question 16

Left lateralization, left base is shallow/posterior with restricted movement, left ILA is P with poor movement, positive backward bending test, positive spring test

Answer 16

left sacral margin posterior

Question 17

During gait the innominates rotate in ____ directions of each other around a ____ axis through the ____ joints.

Answer 17

opposite, transverse, sacro-iliac (SI)

Question 18

Posterior rotation normally occurs with hip ____ while anterior rotation normally occurs with hip _____.

Answer 18

flexion (hamstrings lengthened and tighter)

extension (quadriceps lengthened and tighter)

Question 19

Complaints may include sacroiliac pain, ipsilateral hamstring tightness and spasm, and sciatica. Tissue texture changes may be found at the ipsilateral inferior lateral angle of the sacrum. Iliolumbar ligament tightness. Dysfunction?

Answer 19

anteriorly rotated innominate

Question 20

Complaints may include sacroiliac, inguinal or groin pain secondary to rectus femoris dysfunction. Medial knee pain secondary to sartorius dysfunction. Anterior knee pain due to rectus femoris tension. Tissue texture changes at the ipsilateral sacral sulcus. Inguinal ligament tenderness. Dysfunction?

Answer 20

posteriorly rotated innominate

Question 21

Complaints may include sacroiliac or pelvic pain. Tissue texture changes at the ipsilateral sacroiliac joint. Tissue texture findings at the ipsilateral pubes.

Answer 21

innominate shears

Question 22

An entire innominate has shifted superiorly or inferiorly without rotation relative to the sacrum. Small amount of S/I glide occurs with hip abduction or adduction. The dysfunction is found on the side of the positive standing flexion test or ASIS compression.

Answer 22

innominate shears (subluxation)

Question 23

An entire innominate is rotated medially or laterally around a vertical axis relative to the sacrum. ____ occurs with internal rotation of the hip. ____ occurs with external rotation of the hip.

Answer 23

inflare

outflare

Question 24

Complaints may include pelvic pain or sacroiliac pain. Muscular tension found with palpation. Dysfunction?

Answer 24

innominate flares

Question 25

One pube is displaced superior or inferior relative to the other pube. The ASIS and the PSIS appear equal. Dx?

Answer 25

vertical pubic shears

Question 26

One pube is displaced anterior or posterior relative to the other pube. The ASIS and PSIS appear equal. Dx?

Answer 26

anterior or posterior pubic shears

Question 27

Both pubic rami are displaced medially. ASIS, PSIS, IC, and IT may appear equal. Tenderness bilat. Dx?

Answer 27

pubic symphysis compression