FRIDAY LAB - WEEK 7 Flashcards
(39 cards)
Hip and Pelvis Soft Tissue Palpation
Femoral Triangle Borders
- inguinal ligament
- adductor longus
- sartorius
Quadriceps Muscles
- vastus lateralis
- rectus femoris
- vastus medialis
- vastus intermedius
cluneal nerves
*(flip)
greater trochanteric bursa
gluteus medius
gluteus maximus
sciatic nerve
Hamstrings
- biceps femoris
- semitendinosus
- semimembranosus
Hip and Pelvis Bony Palpation
Anterior: ASIS iliac crest iliac tubercle greater trochanter
Posterior:
PSIS
ischial tuberosity
coccyx
Leg Length Discrepancy
a. ( + ) different measurements in true leg length
a. ( i ) bony abnormality above or below the level of trochanter difference (anatomical short leg)
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b. ( + ) different measurement in apparent leg length
b. ( i ) pelvic obliquity (tilted pelvis)
Allis Sign
Galeazzi Sign, Pediatric Test
a. ( + ) Difference in knee height with one low knee
a. ( i ) Ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
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b. ( + ) Difference in knee anteriority with an anterior knee
b. ( i ) Ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
Thomas Test
( + ) Lumbar spine maintains lordosis and hip or leg flexes
( i ) Contracture of the hip flexors, iliopsoas
Anvil Test
( + ) Localized pain in long bone or hip joint
( i ) Possible fracture of long bones, or hip joint pathology
Patrick Test
FABERE Sign
( + ) Pain in the hip region
( i ) Hip joint pathology
Laguerre
a. ( + ) Pain in the hip joint
a. ( i ) Hip joint pathology
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b. ( + ) Pain in the sacroiliac joint
b. ( i ) Mechanical problem of the sacroiliac joint
Gaenslen Test
( + ) Pain on the affected sacroiliac joint when stressed into extension
( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint
Lewin-Gaenslen Test
( + ) Pain on the affected sacroiliac joint when stressed into extension
( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint
Hibb Test
a. ( + ) Pain in the hip region
a. ( i ) Hip joint pathology
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b. ( + ) Pain in the buttock/pelvic region
b. ( i ) Sacroiliac joint lesion
Ober Test
( + ) Affected thigh remains in ABduction
( i ) Contraction of the iliotibial band, secondary to synovitis of the hip. or, contraction of the tensor fascia lata, secondary to trauma of the gluteus medius and maximus.
Nerve Root C5
Disc Level
- C4
Muscle Tests (2)
- shoulder ABduction: deltoid (axillary nerve)
- forearm flexion: biceps (musculocutaneous)
Reflex
- biceps
Sensation
- lateral arm
Nerve Root C6
Disc Level
- C5
Muscle Test
- wrist extension: carpi radialis longus and brevis, and extensor carpi ulnaris (radial nerve)
Reflex
- brachioradialis
Sensation
- anterior lateral forearm, palm, thumb and 2nd digit
Nerve Root C7
Disc Level
- C6
Muscle Tests (3)
- elbow extension: triceps (radial)
- wrist flexion: flexor carpi radialis (median) and flexor carpi ulnaris (ulnar)
- finger extension: extensor digitorum communis, extensor indicis profundus and extensor digiti minimi (all radial)
Reflex
- triceps
Sensation
- 3rd digit and middle of palm
Nerve Root C8
Disc Level
- C7
Muscle Test
- finger flexion: flexor digitorum superficialis, flexor digitorum profundus, lumbricals (all median and ulnar)
Reflex
- none
Sensation
- 4th and 5th digits, anteromedial forearm and hand
Nerve Root T1
Disc Level
- T1
Muscle Tests (2)
- finger ABduction: dorsal interossei (ulnar)
- finger adduction: palmar interossei (ulnar)
Reflex
- none
Sensation
- anteromedial arm
Nerve Root L4
Disc Level
- L3
Muscle Test
-foot dorsiflexion and inversion: tibialis anterior (deep peroneal/fibular)
Reflex
- patellar tendon
Sensation
- medial aspect of leg, medial foot, medial aspect of big toe
Nerve Root L5
Disc Level
- L4
Muscle Tests (4)
- foot dorsiflexion: tibialis anterior, peroneous tertious, extensor digitorum longus and brevis, extensor hallicus longus (deep peroneal/fibular)
- big toe dorsiflexion: extensor hallicus longus (deep fibular/peroneal)
- toes 2, 3, 4 dorsiflexion: extensor digitorum longus and brevis (deep peroneal/fibular)
- hip and pelvis ABduction: gluteus medius and minimus (superior gluteal nerve)
Reflex
- none
Sensation
- lateral leg, dorsum of foot, and middle three toes
Nerve Root S1
Disc Level
- L5
Muscle Tests (3)
- foot plantarflexion and eversion: fibular/peroneous longus and brevis (superficial peroneal/fibular)
- foot plantar flexion: gastrocnemius and soleus (tibial)
- hip extension: gluteus maximus (inferior gluteal nerve)
Reflex
- Achilles
Sensation
- posterior aspect of the leg, lateral aspect of foot, and lateral aspect of little toe
Nerve Root S2
Disc Level
- S1
Sensation
- Posterior aspect of thigh over popliteal fossa onto posteromedial calf
Lumbar Spine Soft Palpation
anterior abdominal muscles paraspinal muscles - iliocostalis - longissimus - spinalis
sciatic nerve
gluteus medius
gluteus maximus
hamstrings
- biceps femoris
- semitendinosus
- semimembranosus
Lumbar Spine Bony Palpation
iliac crests
lumbar spinous processes
psis
scaral tubercles
Straight Leg Raiser (SLR)
( + ) radiating pain and/or dull posterior thigh pain
( i ) sciatic radiculopathy or tight hamstrings
- positive between 35 and 70 = possible discovenic sciatic radiculopathy
- positive over 70 = tight hamstrings
