Sacrum and pelvis Flashcards

1
Q

which sacral SD have an axis

A

torsions

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2
Q

how does L5 behave in relation to sacrum

A

L5 rotates opp of sacrum
L5 sidebends towards oblique axis
oblique axis is opp side of + seated flexion test

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3
Q

where do PAN some form in lower 1/3 abdomen and pelvic cavity

A

pelvic splanchnic nn from S2-4

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4
Q

Where are the firm osseus connections of dura mater to bones

A

2nd and 3rd cervical vertebrae, 2nd sacral segment and coccyx

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5
Q

what is the order for Tx of sacrum

A

asses pelvis pubes and sacrum
treat area of greatest restriction
treat pubic bones and innominates before sacrum
treat b/l sacral flexion/extension dysnfunctions
treat unilateral sacral shear
treat sacral torsions

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6
Q

where are the posterior sacrum tenderpoints S1-5

A

median crest centrally or b/l

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7
Q

hwo do you treat S1-5 tenderpoints

A

gentle anterior pressure on opposite part of sacrum from TP, attempt to bring base and apex together

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8
Q

how does sacrum move with inhalation and exhalation

A

sacral flexion with exhalation

sacral extention with inhalation

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9
Q

what is order of Tx for pelvis

A
area of greatest restriciton
pubic bone
innominate shears
innominate flares
innominate rotations
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10
Q

where is L1 tenderpoint

A

medial to ASIS

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11
Q

where is L2 tenderpoint

A

medial to AIIS

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12
Q

where is L3 TP

A

lateral to AIIS

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13
Q

where is L4 TP

A

inferior to AIIS

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14
Q

where is L5 TP

A

anterior pubic symphysis

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15
Q

how do you CS TP L1-L5

A

supine, hips in flexion, rotation and sidebending as needed

use obliques and rectus abdominis and iliacus

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16
Q

what TP are located on spinous processes of lumbar and posterior transverse

A

Post lumbar 1-5

17
Q

what TP is located superior lateral surface of pubic bone

A

inguinal lig

18
Q

how do you CS inguinal lig TP

A

legs flexed 90, adduction and internal rotation femur using pectinius

19
Q

where is TP for low ilium

A

lateral ramus of anteiror surface pubic bone

20
Q

how do you CS TP of low ilium

A

affect leg side flexed to 90 and absuction, usuing psoas

21
Q

where is the TP for high ilium SI

A

4-5 cm lateral to psis

22
Q

how do you CS TP for high ilium SI

A

extend affected leg and add slight ABduction of thigh

usuing glut maximus

23
Q

where is TP for midpole SI

A

3-4 cm ingerior to PSIS over SI joint

24
Q

how do you CS TP for midpole SI

A

slight flexion of affected leg with ABduction and external rotation using glut maximus