Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DPT1 > Palpation > Flashcards

Palpation Flashcards

1
Q

ASIS & Iliac Crest

A

Patient in supine

Muscular Attachments onto ASIS: Sartorius & TFL

Muscular Attachments onto Iliac crest: QL, Abdominal Muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Inguinal Ligament

A

Patient Supine

Runs from the ASIS to the pubic Tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hip (Femero-acetabular) Joint

A

Patient in Supine

Located 1/3 of the way between the ASIS and the pubic tubercle (along the inguinal ligament) and inferior at the point of the flexor crease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Sartorius

A

Origin: ASIS

Insertion: Pes anserinus (superior part of the medial tibia)

Action:
- Hip = Flexes, Abducts and laterally rotates
- Knee = Flexes and Medially rotates

Innervation: Femoral n.

Palpation: Patient in Supine. At the point of the ASIS, ask the patient to flex the hip and knee, and bring the foot up to the other knee.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Rectus Femoris

A

Origin: AIIS

Insertion: Quadriceps Tendon onto Patella

Action: Flexes the Hip and Extends the knee

Innervation: Femoral n.

Palpation: Patient in supine. Inferior to the sartorius arising at the ASIS. Have patient flex the hip in a straight line.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Greater Trochanter

A

Prominent Bony land mark on the lateral upper leg. Have patient in side-lying so that they are in relative adduction.

Muscular Attachments: Gluteus Medius & Minimus, Piriformis, Obturator Externus, Gemellus Superior & Inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ischial Tuberosity

A

Bony landmark that we sit. Have patient side-lying, top leg bent (The further you flex the hip the more prominent the tuberosity will be), such that the knee rests on the table below.

Muscular Attachments: The hamstrings tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gluteus Medius

A

Origin: External Surface of the ilium

Insertion: Lateral Surface of the greater trochanter

Action: Abducts, flexes and internally rotates the thigh
- Anterior Fibres - Internally Rotate
- Posterior Fibres - Externally rotates the thigh

Innervation: Superior Gluteal n.

Palpation: Patient side-lying, hip extended & uppermost knee flexed to 90. Asking the patient to abduct, identifying muscle origin just below the iliac crest & following it to the insertion at the greater trochanter.

Note - TFL is anterior and a stronger internal rotator & Glut max is posterior and a hip extensor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TFL

A

Origin: ASIS

Insertion: ITB (extending down to the lateral condyle of the tibia)

Action: Internally Rotates

Innervation: Superior gluteal n.

Palpation: Patient in side-lying and have them lift their heel off of the bed (internally rotate the hip).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ITB

A

Dense fascia emerging from the TFL to the lateral tibial condyle. Palpated in side-lying, hips and knees slightly flexed. Resist hip abduction to make it more prominent.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Iliac Crest & PSIS

A

PSIS located by the dimples on the lower back, and can follow the iliac crest around to the ASIS more medially.

The level of the two PSIS indicates S2. The top of the iliac crest indicates L5.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sacroiliac Joint (SIJ)

A

Locate L5 from the iliac crest and then midway between L5 and PSIS you will be on the top of SIJ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Medial & Lateral Femoral Condyles of the Knee

A

Supine (Crook lying) w/ Towel under the knee. Palpable at the distal end of the femur.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patella

A

Palpate the boarders and shape.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lateral and Medial Facets of the Patella

A

Hands in a diamond shape over the patella, slide with your thumbs medially or laterally to palpate the facets underneath with your fingers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tibial Tubercle

A

Bony prominence at the top of the Tibia. Attachment for the quadriceps tendon.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Patella Tendon

A

From the Patella to the tibial tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Infra-patella Fat Pad

A

Palpate on either side of the patella tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Tibiofemoral Joint Line

A

Move up from the tibial plateau and use your thumbs to dip into the joint space. Start at the boarders of the patella and move laterally and posteriorly on both sides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Head of Fibula

A

Postero-Lateral below the joint line. Site of attachment of the LCL and the common peroneal nerve wrapping around. Can have the patient dorsi flex & plantar flex in order to get movement at the superior tib/fib joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Collateral Ligaments of the Knee

A

Easier to palpate in sitting, but can also be done in supine.

MCL
- Broad Ligament
- Attaches from the Medial femoral condyle and inserts into medial meniscus and the tibial plateau

LCL
- Cord Like ligament
- Runs from the lateral femoral condyle attaches to the head to the fibula.
- Easier to palpate with the leg cross onto the other leg.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Vastus Medialis

A

Origin: Intertrochanteric line, Linear Aspera

Insertion: Quadriceps Tendon onto Patella, and tibial tuberosity

Action: Locks and extends the knee

Innervation: Femoral n.

Palpation: Patient in supine w/ towel under the knee. can differentiate from adductors by having the patient resist adduction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Vastus Lateralis

A

Origin: Intertrochanteric Line, inferior boarder of greater trochanter, gluteal tuberosity, lateral lip of linear aspera

Insertion: Quadriceps Tendon onto Patella, and then tibial tuberosity

Action: Locks and Extends the knee

Innervation: Femoral n.

Palpation: Patient in supine towel under knee. Start distally and travel upwards and make sure to go posterior to the ITB as the muscle travels underneath it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Semimembranosus

A

Origin: ischial tuberosity

Insertion: Medial tibial Condyle

Action: Flexes the knee and extends the hip

Innervation: Sciatic n (Tibial Portion)

Palpation: Patient in prone, resist knee flexion. Distally the muscle is flatter and underneath the semitendinosus tendon.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Semitendinosus

A

Origin: Ischial tuberosity

Insertion: Pes Anserinus

Action: Flexes the knee and extends the hip

Innervation: Sciatic n (Tibial Portion)

Palpation: Patient in prone, resist knee flexion. Distally the muscle is a long tendon and is more prominent with the knee flexed to 90.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Biceps Femoris

A

Origin: Long Head (ischial tuberosity), Short Head (Lateral Supracondylar ridge & lateral inter-muscular septum)

Insertion: Head of fibula

Action: Flexes the knee and extends the hip

Innervation: Sciatic n
- tibial Part = Long Head
- common peroneal part = short head

Palpation: Patient in prone, resist knee flexion. Easier to feel with knee at 90.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Pes Anserinus

A

Located on the proximal medial side of the Tibia.

Semitendinosus (Most posterior)
Gracilis (Middle)
Sartorius (Most anterior)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Lateral and Medial Malleoli

A

Medial Malleolus - Distal end of tibia

Lateral Malleolus - Distal end of fibula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Anterior Talocrural Joint Line

A

Palpate along the joint line once you have identified the two malleoli.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Anterior Talofibular Ligament (ATFL)

A

Travels from Fibula to Talus on the anterior side. Most easily palpated in the sinus Tarsi, which is the hole produced in plantar flexion and inversion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Calcaneofibular Ligament

A

Origin: Tubercle on calcaneus
Insertion: Lateral tubercle on posterior aspect of the Fibula

Invert to palpate a cord-like structure. Easiest to palpate than the other two ligaments.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Posterior Talofibular Ligament

A

Origin: Posterior edge of the lateral malleolus
Insertion: Lateral tubercle of the Talus

Prevents forward slipping of the Fibula onto the Talus. Strongest Ligament.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Cuboid

A

Articulates with the distal edge of the calcaneus on the LATERAL SIDE OF THE FOOT, and then goes onto articulate directly with the 4-5th MTs.

Palpate by locating the sinus tarsi and then following calcaneus down to the joint line. You could also come from the other way by surpassing the prominent tubercle of the 5th MT.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Tuberosity of the 5th MT

A

Prominent bony landmark located on the lateral side of the foot. Point of attachment for the peroneus brevis tendon.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Sustentaculum Tali

A

The bony shelf of the calcaneus bone located inferior to the medial malleolus. Attachment point of the spring ligament (Palmar calcaneonavicular ligament).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Head of the Talus

A

Invert the foot and you will feel the lateral aspect of the head of talus become more prominent in line with the 3rd toe. Then with one finger follow it around to the medial side.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Navicular

A

There is a prominent tubercle that can be identified on the medial side of the foot. Draw line between the head of first MT and the medial malleolus and should lie in the middle of this line.

navicular extends as far as the 3rd toe and articulates with the cuneiform bones.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Deltoid Ligament of the Ankle

A

Origin: Medial malleolus
Insertion: Medial Aspect of the Talus

Resists eversion. To palpate evert the ankle and feel between the sustentaculum tali and the medial malleolus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

1st TarsoMetatarsal Joint

A

Palpate the 1st MT following from head to base.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

1st Metatarsophalangeal joint

A

Palpate along the 1st ray to reach the phalanx. Confirm joint by translating the distal phalanx over the distal head.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Midtarsal joint Line

A

Made by 4 bones:
Proximally: Talus & Calcaneus
Distally: Navicular and Cuboid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Plantar Fascia

A

Origin: Tuberosity of the calcaneus
Insertion: Heads of metatarsal bones

Palpate by having patient dorsi flex the toes and ankle (can be against a finger resistance on top of the toes).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Gastrocnemius

A

Origin:
- Lateral Head: Lateral Femoral condyle
- Medial Head: Medial femoral Condyle

Insertion: Calcaneal tendon

Action: Plantar Flexion & Knee Flexion

Innervation: Sciatic n (Tibial Part)

Palpation: Resist plantar flexion to palpate boarders. Differentiate from peroneal by resisting eversion.

44
Q

Soleus

A

Origin: Posterior aspect of fibula and soleal line of the Tibia

Insertion: Posterior surface of Calcaneus via Calcaneal/Achilles tendon

Action: Plantar Flexion

Innervation: Tibial n.

Palpation: Patient in prone w knee flexed to 90, muscle emerges laterally under the gastrocnemius.

45
Q

Tibialis Anterior

A

Origin: Lateral condyle and superior lateral surface of the Tibia

Insertion: Medial Cuneiform and bask of 1st MT

Action: Dorsi flexion and inversion

Innervation: Deep Peroneal n.

Palpation: Patient in supine, get them to dorsi flex and invert the foot. Medial boarder with the Tibia and lateral boarder with the Peroneals differentiate with by eversion.

46
Q

Peroneus Longus

A

Origin: Head of Fibula

Insertion: Base of 1st MT & Medial Cuneiform

Action: Eversion and assist in plantar flexion

Innervation: Superficial Peroneal N

Palpation: Patient in supine, Evert the foot and feel from the fibula head down to where it becomes more tendinous at the dimple area on the lateral side of the leg.

47
Q

Peroneus Brevis

A

Origin: Inferior 2/3 of Fibula lateral surface

Insertion: Tubercle of the 5th MT

Action: Eversion and assist in plantar flexion

Innervation: Superficial Peroneal N

Palpation: Patient in supine, Evert the foot and feel from the dimple of fibula deep to the tendinous peroneus longus.

48
Q

Tibialis Posterior

A

Origin: Interosseous membrane + Posterior surface of the Tibia (below soleal line) & posterior surface of Fibula

Insertion: Tuberosity of navicular, cuneiform, cuboid and bases of 2,3,4.

Action: Inversion

Innervation: Tibial n.

Palpation: Patient in supine. Can only feel close to the medial malleolus with foot in plantar flexion and inversion.

49
Q

T12 Spinous Process

A

Count up from L4 when identifying it from the iliac crest. Notably smaller spinous process than those seen in the lumbar spine.

50
Q

Piriformis

A

Origin: Anterior surface of the sacrum

Insertion: Greater Trochanter

Action: Abducts the flexed thigh

Innervation: Muscular Branches of L5, S1, S2

Palpation: Patient in 3/4 prone or prone. Locate the upper border of the greater trochanter and ask patient to externally rotate the leg.

51
Q

Spinous Processes of Thoracic Spine T1-12

A

Remember that C7 tends to be the most prominent and tends to disappear during neck extension. Then once identified T1 count down from here to T12.

52
Q

Sternoclavicular Joint

A

Palpate bilaterally to detect asymmetry. Have the patient elevate and depress their scapula in order to identify the joint position.

53
Q

Clavicle

A

Palpate length of anterior surface (largely free of muscular attachment with the exception of Platysma).

Feel convexity of medial 2/3rds and then the concave shape of the lateral 1/3.

Muscles that attach to the clavicle: sternocleidomastoid, deltoid, trapezius, pectoralis major (clavicular head) & Subclavius.

54
Q

Coracoid Process

A

Find the midpoint of the lateral 1/3rd of the clavicle and drop inferiorly into the concave part. Press obliquely posteriorly and laterally to find the coracoid process.

You can only feel the medial surface. Can confirm location by either contracting biceps (resisting elbow flexion) or pectoralis minor, hand off the back.

Muscular Attachments: P. Minor, Coracobrachialis, Short head of biceps

55
Q

Acromioclavicular Joint (ACJ)

A

Palpate laterally along the clavicle until the AC articulation feels like a slight depression. Can be confirmed by asking the patient to flex and extend the shoulder.

56
Q

Acromion

A

Can be palpated at the point of the shoulder. Immediately laterally to the AC joint. Can palpate the anterior, lateral and posterior surface

57
Q

Greater Tuberosity of Humeral Head

A

Palpate inferiorly from the acromions lateral border.

Muscular Attachments: Supraspinatus, Infraspinatus & Teres Minor

58
Q

Lesser Tuberosity of Humeral head

A

Need to externally rotate the shoulder as it is located to far medially to palpate in the resting position. Find the coracoid process, place one finger more laterally and passively internally and externally rotate the humerus to feel it pop in and out.

Muscular Attachments: Subscapularis

59
Q

Bicipital Groove

A

Located in between the greater and lesser tuberosity. Can be felt when passively rotating the humerus.

60
Q

Anterior Shoulder Joint Line

A

Located in between the coracoid process and the lesser tuberosity.

61
Q

Posterior Shoulder Joint Line

A

Drop down vertically from the tip of the posterior aspect of the acromion.

62
Q

Pectoralis Major

A

Origin:
- Clavicular Head - Anterior surface of the medial half of the clavicle
- Sternal Head - Anterior surface of the sternum

Insertion: Lateral Lip of the bicipital groove

Action: Internal Rotation, Adduction, Lateral Flexion. Can also extend the humerus in the overhead position.

Innervation: Lateral and medial pectoral nerves

Palpation: Patient in supine, arm abducted to 90 and elbow at 90. Have patient push to laterally flex through resistance. At 90 abduction feels clavicular head and at 110 abduction feels sternal head.

63
Q

Pectoralis Minor

A

Origin: Ribs 3-5 & costal cartilages

Insertion: Medial lip of the bicipital groove

Action: Protracts scapula, depresses scapula, downwardly rotates scapula

Innervation: Lateral and medial pectoral nerves

Palpation: Patient in sitting, with hand behind back and moving it off of the back.

64
Q

Rhomboid Major and Minor Muscles

A

Origin:
- Minor: Ligamentum Nuchae + Spinous Processes of C7, T1
- Major: Spinous Processes of T2-5

Insertion: Medial border of scapula from level of the spine to the inferior angle

Action: Downward Rotation & Retracts Scapula + fixes scapula to the thoracic wall

Innervation: Dorsal scapular nerve

Palpation: Patient in prone, palpate medial border of the scapula. Ask the patient to move their arm away from the back of the waist.

65
Q

Teres Major

A

Origin: Dorsal surface of the inferior angle of the scapula

Insertion: Medial lip of the bicipital groove

Action: internally Rotation

Innervation: Lower subscapular nerve

Palpation: Patient in prone, arm handing to the side w/elbow bent. Patient pushes the palm of their hand into the therapist leg.

66
Q

Infraspinatus

A

Origin: Infraspinous Fossa

Insertion: Greater Tubeosity

Action: External Rotation

Innervation: Subscapular n.

Palpation: Patient in prone, arm handing to the side w/elbow bent. Patient pushes the back of their hand into the therapist leg.

67
Q

Teres Minor

A

Origin: Superior Lateral border of the scapula

Insertion: Greater Tuberosity

Action: External Rotation

Innervation: Subscapular n.

Palpation: Patient in prone, arm handing to the side w/elbow bent. Patient pushes the back of their hand into the therapist leg.

68
Q

Trapezius

A

Origin: Medial Third of superior nuchal line, external occipital protuberance, ligamentum nuchae, spinous processes of C7-T12.

Insertion: Superior border of lateral clavicle, acromion process and superior lip of spine of scapula

Action:
- Upper: Elevates Scapula + Upwardly rotates Scapula
- Middle: Retracts the scapula
Lower: Lowers the scapula * Upwardly rotates the scapula.

Innervation: Accessory Spinal n.

Palpation:

Superior Trap: Patient in sitting. Have them hold their arms in abduction against gravity and easily palpate

Middle Trap: Best felt between the spinal column and the medial border to the scapula.

Lower Trap: Felt moving up from T12 in a lateral direction towards the insertional area at the base of the spine of the scapula.

69
Q

Latissimus Dorsi

A

Origin: Spinous Processes of inferior Thoracic Vertebrae & ThoracoLumbar Fascia

Insertion: Floor of bicipital groove

Action: Adduction, Internal rotation, extension

Innervation: Thoracodorsal n.

Palpation: Patient in prone, arm handing to the side arm straight. Patient pushes the arm via adduction into the therapist leg.

70
Q

Medial Epicondyle of humerus

A

Common flexor attachment point

71
Q

Lateral Epicondyle of Humerus

A

Common Extensor Attachment Point

72
Q

Elbow Joint Line

A

An arbitrary line between the medial and lateral epicondyles.

73
Q

Head of Radius

A

With elbow in flexion 90, palpate the lateral epicondyle then move approx 2cm distally.

74
Q

Radio-ulnar joint

A

At the head of the radius. Confirm by pronation and supination.

75
Q

Olecranon & Ulnar n

A

Elbow flexion moves the olecranon out of the fossa making it easy to palpate on the posterior elbow. ulnar nerve lies between the olecranon and the medial epicondyle.

76
Q

Brachioradialis

A

Origin: Lateral supracondylar ridge of humerus

Insertion: Base of radial styloid process

Action: Flexes forearm + supports radius whenever biceps is acting.

Innervation: Radial n.

Palpation: Patient sitting. Shoulder flexed 30, elbow flexed 90. Make a fist and flex the wrist. Palpate down the medial and lateral sides of the muscle.

77
Q

Extensor Carpi Radialis Longus

A

Origin: Lateral Supracondylar Ridge

Insertion:
Posterior surface of base of 2nd Metacarpal

Action: Extends and radially hand at the wrist joint

Innervation: Radial n.

Palpation: Patient in sitting, wrist extends and radially deviates. The 2nd finger flicks to make it more prominent.

78
Q

Extensor Carpi Radialis Brevis

A

Origin: Common Extensor Origin

Insertion: Posterior surface of the base of 3rd metacarpal

Action: Extends and radially deviates hand at wrist joints

Innervation: Radial n.

Palpation: Patient in sitting, wrist extends and radially deviates. The 3rd finger flicks to make it more prominent.

79
Q

Extensor Digitorum

A

Origin: Lateral epicondyle of humerus

Insertion: Dorsum of middle and distal phalanges of the four fingers

Action: Extends the wrist and digits

Innervation: Radial n.

Palpation: Patient in sitting, wrist extends and radially deviates. Piano Fingers.

80
Q

Extensor Carpi Ulnaris

A

Origin: Lateral Epicondyle of humerus

Insertion: Medial side of the base of the 5th MT

Action: Extends and adducts the hand

Innervation: Radial n.

Palpation: Patient in sitting, wrist extends and ulnar deviates. Medial boarder is the ulnar and lateral border is the extensor digitorum.

81
Q

Pronator Teres

A

Origin: Common Flexor Origin (Medial Epicondyle) & a smaller portion from the coronoid process of the ulnar.

Insertion: Lateral side of radius about halfway down the forearm.

Action: Flexes Elbow & Pronates the wrist

Innervation: Median n.

Palpation: Patient in sitting, muscle forms the medial border of the cubital fossa. Begin palpation at the proximal attachment and work down.

82
Q

Flexor Carpi Radialis

A

Origin: Common Flexor Origin

Insertion: Base of second metacarpal

Action: Flexes and radially deviates the hand

Innervation: Median n.

Palpation: Patient in sitting, forearm supinated. Make a tight fist and then radially deviate the wrist. The tendon lies radial to the palmaris longus tendon.

83
Q

Biceps

A

Origin:
- Short Head - Coracoid Process
- Long Head - Supraglenoid tubercle of the scapula

Insertion: Tuberosity of radius and fascia of forearm via bicipital aponeurosis

Action: Elbow flexion and forearm supination

Innervation: Musculocutaneous n.

Palpation: Tendons felt in bicipital groove (long head) & coracoid process (short head). Palpate the medial and lateral borders by resisting elbow flexion.

84
Q

Triceps

A

Origin:
- Long Head: Infraglenoid Tubercle of the scapula
- Lateral Head: Posterior surface of humerus (superior to radial groove)
- Medial Head: Posterior surface of humerus inferior to radial groove

Insertion: Proximal end of the olecranon

Action: Extends the elbow

Innervation: Radial n.

Palpation: Patient in prone, shoulder abducted to 90, elbow level with the edge of the bed. Patient lift elbow to ceiling to indicate posterior fibres of the deltoid. Place on finger in the dip and resist elbow extension to feel the tendon of the long head

85
Q

Radial/Ulnar Styloid Process

A

Bony prominence on either side of the wrist

86
Q

Inferior Radio-ulnar Joint

A

Palpated between the radial and ulnar styloid processes

87
Q

Radiocarpal Joint Line

A

Made by the radius, articular disc, scaphoid, lunate & Triquetrium

88
Q

Scaphoid

A

Palpated through the anatomical snuff box. Have the patient ulnar deviate to make more prominent.

89
Q

Lunate

A

Just distal to the radial styloid on the dorsal side, and becomes more prominent during wrist flexion (will disappear in wrist extension)

90
Q

Triquetrium

A

Distal to the ulnar Styloid process, have the patient in radial deviation and it is an easy bone to palpate

91
Q

Pisiform

A

On the anterolateral side of the Triquetrium, essentially a sesamoid bone sitting inside the tendon of FCU

92
Q

Trapezium

A

At the BASE OF THE THUMB, distal to the scaphoid.

93
Q

Trapezoid

A

Laterally to the dip articulating with the 2nd MT

94
Q

Capitate

A

medially to the dip articulating with the 3rd MT

95
Q

Hamate

A

Hook - Located on the palmar side in line with the 4th MT in the hypothenar eminence

Body - Found on the dorsal surface at the bottom of the 4th & 5th MT

96
Q

Abductor Pollicis Longus

A

Origin: Posterior Surface of the radius

Insertion: Baes of 1st MT

Action: Abducts and extends 1st CMC

Innervation: Radial n.

Palpation: Lateral tendon of the snuff box

97
Q

Extensor Pollicis Brevis

A

Origin: Posterior surface of the distal radius

Insertion: Base of distal phalanx of the thumb

Action: Extends the 1st MCP

Innervation: Radial n.

Palpation: Lateral tendon of the snuff box

98
Q

Extensor Pollicis Longus

A

Origin: Posterior Surface of the radius

Insertion: Base of distal phalanx of the thumb

Action: Extends IP and MCP joints. Extension and adduction of CMC joint.

Innervation: Radial n.

Palpation: Middle of snuff box

99
Q

Abductor Pollicis Brevis

A

Origin: Tubercle of scaphoid and Trapezium

Insertion: Base of proximal phalanx

Action: Abducts the CMC and MCP Joint

Innervation: Median n.

Palpation: 1st layer muscle, most lateral. Felt with the thumb in abduction

100
Q

Flexor Pollicis Brevis

A

Origin: Trapezium & 1st Metacarpal

Insertion: base of proximal phalanx

Action: Flex the CMC and MCP joint

Innervation: Median N.

Palpation: 1st layer muscle, sits just medial to AbdPB. Flex the thumb to feel.

101
Q

Opponens Pollicis

A

Origin: Tubercle of trapezium

Insertion: Lateral border of 1st MC

Action: Flexes, abducts and medially rotates the CMC

Innervation: Ulnar n.

Palpation: Abduct a little and then oppose. Thin muscle strip

102
Q

Adductor Pollicis

A

Origin:
- Oblique Head: Anterior surface 2nd and 3rd MC, capitate and trapezoid
- Transverse Head: Anterior surface of 3rd

Insertion: Medial side of the proximal phalanx

Action: Adducts the CMC joint. Flexes and adducts the MCP

Innervation: Median n.

Palpation: Adduct the thumb against resistance. Put finger in the webspace.

103
Q

Flexor Pollicis Longus

A

Origin: Anterior surface of the radius

Insertion: Palmar aspect of distal phalanx

Action: Flexes the IP and MCP

Innervation: Median n.

Palpation: Tendon palpated on proximal phalanx during IP flexion.

104
Q

First dorsal interosseous

A

Origin: Adjacent sides of 1st and 2nd MCs

Insertion: Radial side of proximal phalanx of the index finger

Action: Abduct the index finger

Innervation: Ulnar n.

Palpation: Palpate on posterior aspect of the web space close to the second MC, abduct the index finger

105
Q

Spinous Processes of the Cervical Vertebrae

A

C1 - No spinous process
C2 - First one you can feel after the dip from the Occiput
C3-5 are deep due to lordosis and very close together. Can place the neck in slight flexion but hard to feel.
C7-T1 -

DPT1 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions