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Flashcards in pelvis and sacrum Deck (28):
1

inguinal ligament TP location

superior surface of pubic tubercle

2

inguinal ligament TP technique

- patient is supine
- flex both legs 90 degrees and place on doc's thigh. move leg on tender side under the opposite leg. adduct the femur. internally rotate the femur by moving the ipsilateral leg towards yourself until TP resolves

3

iliacus (psoas) TP location

2 in inferior and 2 in medial from ASIS

4

iliacus TP technique

- patient: supine
- stand on tender side. flex patient's legs, externally rotate the legs and place them on your thigh. flex, sidebend toward the TP until it resolves

5

low ilium (SI) TP location

lateral ramus of the pubic bone anterior surface

6

low ilium (SI) TP technique

- patient: supine
- flex the tender side only (90 degrees); add abduction if needed for resolution of pain

7

lateral trochanter TP location

lateral surface of the femur 0-15cm distal from great trochanter in the IT band

8

lateral trochanter TP technique

- patient: prone
- doctor is seated supporting the pt's leg on his thigh. slightly flex the hip, add abduction and internal rotation

9

posterior lateral trochanter TP location

superior lateral surface of the posterior greater trochanter

10

posterior lateral trochanter TP technique

- patient: prone
- doctor is standing with knee on table under the pt's thigh; add in a moderate amount of extension, some abduction and a whole lot of external rotation until the TP resolves

11

posterior medial trochanter TP location

3-5mm inferior to the greater trochanter between the posterior medial surface of the shaft of the femur and the posterior lateral surface of the ischial tuberosity

12

posterior medial trochanter TP technique

- patient: prone
- grasp leg on tender side and place your knee under the thigh; slightly extend the leg, moderately externally rotate it and bring the leg across the midline with adduction until TP resolves

13

anterior lateral trochanter TP location

5-7cm lateral and inferior to the ASIS but anterior and superior to the greater trochanter

14

anterior lateral trochanter TP technique

- patient: supine
- flex hip 70-90 degrees; add abduction and external rotation until TP resolves

15

high ilium sacroiliac (HISI) TP location

4-5cm lateral to PSIS

16

HISI TP technique

- pt: prone or supine
- doctor is standing on affected side; extend leg and slight abduction until TP resolves

17

mid pole sacroiliac (ilium in flare superior) (MPSI) TP location

3-4cm inferior to PSIS in the divot in the mm just lateral to the sacrum. approach the TP from the lateral side

18

MPSI TP technique

- patient: prone
- doctor is standing on the affected side; slightly flex the hip and knee; add abduction and some external rotation of the hip until TP resolves

19

piriformis TP location

belly of the piriformis 8-9cm medial and slightly superior to greater trochanter

20

piriformis TP technique

- pt: prone
- doctor is seated on side of TP. suspend pt's leg off table and rest the leg on your thigh. flex the hip to about 135 degrees, abducts slightly via the knee and internally or externally rotate the knee until TP resolves

21

high ilium out flare (HIFO) TP location

sacrococcygeal joint or on the coccyx

22

HIFO TP seen in?

coccydynia

23

HIFO TP technique

- pt: prone
- doctor is standing on affected side; raise (extend) the affected side just enough to be able to adduct the leg over the other leg and then adduct the leg

24

sacral TP location

found along the media crest of the sacrum on the spinous and transverse processes

25

sacral TP technique

- pt: prone
- doctor is standing and will apply gentle pressure to the opposite part of the sacrum of where the TP is located

26

L5/sacral rules

1. L5 sidebent, a sacral oblique axis is engaged on the same side as the sidebending
2. when L5 is rotated, sacrum rotates the opposite way on an oblique axis
3. oblique axis is on the opposite side of the pos seated flexion test

27

L5 FRRSR; sacral SD?

L on R

28

4 types of sacral motion

1. respiratory motion: superior transverse axis of the sacrum at superior-posterior aspect of the body of S2
2. craniosacral motion: same as resp motion
3. sacroiliac axis (postural motion): middle transverse axis at inferior-posterior aspect of S2
4. iliosacral axis: inferior transverse axis at body of S3