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Pelvic Technique
PCC Stachenotes Pelvic, perhaps a little overkill.
105
Anatomy
Post-Graduate
01/20/2012

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Term
PI PSIS misaligns ____.
Definition
Posterior Inferior
Term
PI Ischial tuberosity ____.
Definition
Rocks Anterior
Term
AS PSIS misaligns ____.
Definition
Anterior Superior
Term
AS Ischial tuberosity ____.
Definition
Rocks Posterior
Term
Knee Raiser Results: Ipsilateral
Definition
Normal: ipsilateral PSIS rotates posterior, inferior, and medial.
Fixed: suggests AS ilium
Term
Knee Raiser Results: Contralateral
Definition
Normal: PSIS rotates anterior and superior.
Fixed: PI
Term
SI Seated Flexion Results
Definition
PSIS with most excursion is the side of fixation.
Term
SI Fluid Motion Findings
Definition
Normal: Ipsilateral leg lengthens while contralateral leg remains stationary
Fixed: If both legs lengthen simultaniously the SI joint is fixed on side tested.
Term
PI spongy edema is located ____.
Definition
At the superoposterior margin of the SI joint.
Term
PI static palpation reveals tenderness ____.
Definition
Point tenderness at the superior aspect of the SI joint.
Term
AS causes spongy edema ____.
Definition
At the inferoposterior margin of the SI joint.
Term
AS static palpation reveals
Definition
Point tenderness over inferior aspect of the SI joint
Term
PI Buttocks lateral view reveals
Definition
Gluteus Maximus slopes more gradually to the gluteal fold.
Term
AS lateral visualation of the buttocks reveals
Definition
Gluteus maximus falling more sharply toward the gluteal fold, creating a rounded appearance.
Term
I-S pressure on a PI feels
Definition
firmer and more resistant
Term
I-S pressure on AS feels
Definition
Spongier and easier to push cephaled
Term
PI innominate bone on X-Ray
Definition
Increased vertical dimension
Term
PI obterator foramen on X-Ray
Definition
Increased vertical height of obterator foramen.
Term
PI Femur head height on X-Ray
Definition
Femur head height is lowered
Term
PI Sacrum position on X-Ray
Definition
Relatively anterior to PSIS
Term
AS innominate bone on x-ray
Definition
Decreased vertical dimension
Term
AS obterator foramen on x-ray
Definition
decreased vertical height
Term
Femur head height of an AS ilium on x-ray
Definition
Raised femur head height
Term
AS sacrum position on x-ray
Definition
posterior to PSIS
Term
IN pubic symphysis deviates ...
Definition
away from central ray.
Term
IN horizontal dimension of iliac ala
Definition
Increased horizontal dimension of iliac ala
Term
EX central ray
Definition
central ray passes through the pubic bone on this side.
Term
EX horizontal dimensions of the iliac ala
Definition
decreased horizontal dimension of iliac ala
Term
IN Obturator foramen
Definition
Horizontal dimension of obterator foramen decreases.
Term
Seated Sacroiliac Axial Rotation
Definition
Ipsilateral fixation: EX
Contralateral fixation: IN
Term
Seated lumbopelvic lateral bending
Definition
Ipsilateral: EX
Contralateral: IN
Term
Leg Fanning
Definition
Abductor fixation:EX or posterior sacrum
Adductor fixation:IN
Term
IN PSIS static palpation
Definition
More medial, more prominant
Term
IN spongy edema
Definition
entire anterior margin of si joint, but cannot be palpated.
Term
EX PSIS static palpation
Definition
Lateral, less prominant
Term
EX spongy edema
Definition
Entire posterior margin of SI joint
Term
Toe Flare out
Definition
On side of IN ilium
Term
IN Gluteal musculature from tangential view
Definition
Flattened, 2 inches latteral to PSIS
Term
EX Gluteal musculature from tangential view
Definition
Two inches lateral to PSIS appears narrow and hunched
Term
Toe flare in
Definition
EX
Term
EX trigger points
Definition
2 inches and 4 inches lateral to PSIS
Term
X ray IN Ischium
Definition
Decreased horizontal dimension of Ischium
Term
X Ray IN Femur head height
Definition
Raised femur head height
Term
EX femur head height
Definition
Lowered femur head height
Term
Sciatic like pain down the back of the thigh is more likely to be associated with an IN or an EX listing?
Definition
EX
Term
Inguinal/groin pain is more likely associated with IN/EX?
Definition
IN
Term
Base Posterior Sacrum instrumentation finds ___
Definition
Break over lower third of L5 spinous process
Term
Motion palpation finds restriction at ____ for a base posterior sacrum
Definition
the L5 level
Term
In the case of base posterior sacrum, edema will be found _____.
Definition
Between fifth lumbar and 1st sacral segment.
Term
Sudoriferous changes over the L5 vertebra would be indicative of ____.
Definition
Base Posterior Sacrum
Term
What is the chief complaint of a patient suffering from a base posterior sacrum?
Definition
pain across lumbo sacral junction.
Term
A lateral lumbar x-ray of a base posterior sacrum will reveal:
Definition
1. A flexion malposition of L5 on the sacral base.
2. A decreased sacral base angle (<36deg.)
3. Hypolordosis of the lumbar spine (radius >24cm)
Term
Instramentation break at S1 or S2 suggests
Definition
Posterior Rotation of the sacrum
Term
Which MOPAL finding is indicative of posterior rotation of sacrum?
Definition
leg fanning abduction. (this finding is also present on EX ilium)
Term
Where will you find point tenderness on a patient with posterior rotation of the sacrum?
Definition
Over the first or second sacral tubercles.
Term
Where will you find spongy edema on a patient with posterior rotation of the sacrum?
Definition
posterior superior margin of the SI joint
Term
Where will you find a prominence on a patient with posterior rotation of the sacrum?
Definition
prominence of the lateral inferior angle of the sacrum on the side of rotation.
Term
The sacrum is significantly rotated when ____.
Definition
the difference in the width of the sides of the sacrum is greater than 6 mm.
Term
Posterior rotation of the sacrum is usually on the __ side of the ilium?
Definition
IN
Term
Adjust the sacrum, or the ilium?
If an ilium is predominately AS or IN
Definition
adjust the sacrum to the ilium
Term
Adjust the sacrum, or the ilium?
If an ilium is predominately PI or EX?
Definition
Adjust Ilium to Sacrum
Term
Apex posterior sacrum instrumentation findings
Definition
Break at lower 1/3 of L5 spinous process
Term
Apex posterior sacrum MOPAL findings
Definition
Fixation at L5
Term
Apex posterior sacrum static palpation findings
Definition
tenderness over L5 spinous
Term
Apex posterior sacrum edema is found
Definition
between L5 and S1
Term
Apex posterior sacrum
sudoriferous changes our found
Definition
at L5 and S1
Term
Apex posterior sacrum
Kemp's test
Definition
may be positive for facet syndrome
Term
Apex posterior sacrum
X-ray findings
Definition
lateral veiw usually shows:
1) positive McNab's line
2) increase sacral base angle (>42)
3) hyperlordosis of the lumbars (radius <19 cm)
Term
Apex posterior sacrum
Patients cheif complaint
Definition
lumbosacral pain due to L5 S1 facet syndrome.
Term
Pelvic Algorithm
Definition
Visualisation-Instrumentation-MoPal* -Pelvic fixation-Static Palpation-Leg Check-X-Ray-Clinical Decision-Adjust
Term
The Five Components of Subluxation
Definition

Neuropathophysiology (pain, skin temp Δ, Sudoriferous Δ)

Kinesiopathology (misalignment, hyper/hypomobility, postureal distortion)

Myopathology (hypermyotonicity and tenderness, trigger points, myofascial pain, limited active ROM)

Histopathology (Turgidity, Edema, Sudoriferous Δ)

Pathophysiology (DDD, DJD)

Term
coccyx- mode of injury
Definition
Direct trauma to the coccyx
Term
Coccyx-presentation
Definition
lumbosacral or sacroiliac pain, but exams and x-rays show coccyx misalignment.
Term
Coccyx- Physical exam findings
Definition
Edema and pain over sacrococcygeal articulations
Valsalva maneuver usually reduced/exacerbates pain
Sitting or rising from sitting may also produce localized coccygeal pain
Term
Coccygeal missalignment
x-ray findings
Definition
Lateral x-ray exhibits degree of apex anteriority
A-P lumbopelvic x-ray demonstrates the presence of base inferiority.
Term
Positive Derefield check
Definition
1. Short leg in extended position crosses over and becomes long when flexed 90
2. Short leg in extended position becomes even with opposite leg when flexed to 90
3. Legs are even in extended, but one becomes longer when the legs are flexed 90 (longer leg is side of +D)
Term
Negative Derefield check
Definition
Short leg in extended position stays short when legs are flexed 90
Term
Cervical syndrome testing
Definition
Turn head to right. If short leg in extended position remains short after head turn there is No Right Cervical syndrome. Same check on left. If legs become even after head turn, palpate articular pillar on side of head turn to find taut tender nodule, note level
Term
What if a patient has + cervical syndrome on both sides?
Definition
adjust the level of the lower taut and tender nodule only.
If legs are even in extended position after cervical adjustment the protocol is complete.
If reactive leg is still short, adjust + or - D
Term
+D is comparable to what gonstead listing?
Definition
PI
Term
-D part 1 corrects for
Definition
inferior ischium and sacrum
Term
-D part 2 corrects for
Definition
IN ilium created with superior contact hand thrust during part 1 and for anterior rotation of sacrum.
Term
Sacral leg check stabilization
Definition
stabilize of S2 sacral tubercle
Term
Performing Thompson Sacral Leg Check
Definition
Instruct patient to lock knee and raise leg until end range is felt.
Test is invalid if ASIS on side tested raises off table
If one leg raises 6 or more inches off the table, the side of the higher leg is the side toward which the sacral apex is deviated.
Term
What is the listing if the right leg raises six or more inches higher than the left on the Thompson sacral leg check?
Definition
SAR (sacral apex right)
Term
Associated with SI dysfunction?
Central or paravertebral lumbar pain
Definition
No
Term
Associated with SI dysfunction?
Pain below the knee
Definition
No
Term
Associated with SI dysfunction?
Pain at the begining of forward bending
Definition
No
Term
Associated with SI dysfunction?
Painful arc or catching during forward bending?
Definition
No
Term
Associated with SI dysfunction?
Pain duriring prolonged sitting
Definition
No
Term
Associated with SI dysfunction?
Pain with cough/sneeze
Definition
No
Term
Associated with SI dysfunction?
More tigh/leg pain than low back or SI pain?
Definition
No
Term
Associated with SI dysfunction?
Pain around PSIS/Sacral sulcus.
Definition
Yes
Term
Associated with SI dysfunction?
Patient points to SI joint when discussing problem.
Definition
Yes
Term
Associated with SI dysfunction?
Unilateral joint involvement.
Definition
Yes
Term
Associated with SI dysfunction?
Any age group.
Definition
Yes
Term
Associated with SI dysfunction?
Gender preference?
Definition
No gender preference (females are more prone to hormonal changes, especially in 3rd tri pregnancy)
Term
Associated with SI dysfunction?
Racial prefference
Definition
No racial prefference
Term
SI dysfunction pain reffereral
Definition
groin, inguinal region, hip, thigh and sciatica-like pain on the posterior thigh.
Term
Associated with SI dysfunction?
Pain/stiffness getting out of bed.
Definition
Yes
Term
Associated with SI dysfunction?
Pain standing from sitting.
Definition
Yes
Term
Associated with SI dysfunction?
Pain side bending to affected side.
Definition
Yes
Term
Associated with SI dysfunction?
Walking aggravates.
Definition
Yes
Term
Pain associated with SI dysfunction is usually lower than ____.
Definition
6 on a pain scale
Term
Oswetrey disability score for SI dysfunction are usually____.
Definition
less than 40%
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