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Flashcards in Pelvic Exam Deck (13):
1

How is the iliolumbar ligament palpated?

- Roll off posterior edge of iliac crest
- Find L4/ L5 interspace
- Move down to L5, and palpate back towards the iliac crest
- Palpate rope like ligament

2

How can the PSIS be distinguished from fatty deposits in the low back?

- Pt standing
- Pt flexes hip causing anterior pelvic rotation
- PSIS will slip under the palpation finger
- Fatty nodules will not move

3

How is the sacral sulcus palpated?

- Drop medially and inferiorly from the PSIS into the deep sacral sulcus.

4

How is the inferor lateral angle of the sacrum palpated?

- Palpate along the sacral sulci
- When the innominate turns continue downwards and feel for the angle

5

How is the piriformis palpated?

- Make a T of the greater trochanter, ichial tuberosity, and coccyx.
- Piriformis will be the base of the T

6

How are the ischial tuberosities palpated?

- Ask for consent first
- Find gluteal fold
- Fall off the fold
- Come superiorly
- Palpate into tuberosities

7

What 2 impairments may be palpated at the ischial tuberosities during palpation?

- Ischial bursitis
- Hamstring inflammation/ irritation

8

How are the pubic tubercles palpated?

- Obtain consent
- Palm the abdomen
- Walk the hand down
- Find it, and feel it with the thumbs
- Can have female patient find it themselves and use their thumbs as dummy thumbs
- May palpate the pubic symphysis for pain

9

How can the ASIS be palpated more consistently?

- Move the thumb directly under the ASIS

10

In what positions should the pelvic landmarks be palpated?

- Standing
- Sitting
- Supine
- Prone

11

What 10 landmarks should be palpated during the pelvic exam?

- Iliac crest
- Ilio-lumbar ligament
- PSIS
- Sacral sulcus
- S2
- Sacral inferior lateral angles
- Piriformis
- Ischial tuberosities
- ASIS
- Pubic tubercles/ pubic symphysis

12

What is the 4 (or 5) item test cluster for SIJ dysfunction?

- Thigh thrust
- Sacral thrust
- Distraction
- Compression
- Gaenslen's (?)

13

What are the 4 other special test for the pelvic girdle?

- FABER's
- Squish test
- Active SLR
- Sign of the buttock