Lab- Innominates

Question 1

what is a positive finding for the standing flexion test?

Answer 1

the dysfunctional innominate’s PSIS moves farther superior

Question 2

what should you always perform prior to a supine evaluation of the pelvis?

Answer 2

reset the hips

Question 3

what are the two methods used for lateralizarion? `

Answer 3

standing flexion test and the ASIS compression

Question 4

what is a positive finding for an ASIS compression test?

Answer 4

there is a hard end-feel or restriction of motion on the dysfunctional innominate

Question 5

what are the first two steps for an innominate inspection?

Answer 5

palpate for TART and lateralization test

Question 6

how do you induce a posterior rotation of an innominate?

Answer 6

by passively flexing the patient’s hip and knee

Question 7

how do you induce an anterior rotation of an innominate?

Answer 7

passively extend the leg

Question 8

what should you do first when treating a superior/inferior innominate shear SD?

Answer 8

you should GAP THE SI JOINT

Question 9

how do you gap the SI joint?

Answer 9

internally rotate, slightly flex (10-20 degrees), and abduct the leg

Question 10

how do you induce an inferior shear?

Answer 10

gently lean back to maintain traction to the restrictive barrier

Question 11

how do you induce a superior shear?

Answer 11

you gently lean forward, pushing the patient’s leg cephalad to the restrictive barrier

Question 12

DO NOT FORGET TO GAP THE SI JOINT ERIN

Answer 12

thank you

Question 13

how should you set up the treatment for a right innominate inflare/outflare?

Answer 13

you flex the dysfunctional leg at the hip and knee with the foot placed at the lateral aspect of the opposite leg

Question 14

how do you induce an outflare?

Answer 14

you gently externally rotate and abduct the hip to the restrictive barrier

Question 15

how do you induce an inflare?

Answer 15

you gently internally rotate and adduct the hip to the restrictive barrier

Question 16

how do you treat a superior pubic shear SD?

Answer 16

you abduct and slightly extend the leg

Question 17

how do you treat an inferior pubic shear SD?

Answer 17

you flex the patient’s hip with adduction

Question 18

what is the shotgun approach used for?

Answer 18

pubic dysfunction; you have the patient alternate between adduction and abduction of the legs

Question 19

how do you position the segments for BLT?

Answer 19

in an indirect manner

Question 20

how do you treat a right anterior rotated innominate with BLT? important hint hint

Answer 20

you slowly pulldown on the ipsilateral leg and push up on the contralateral leg; you then instruct the patient to rotate towards the contralateral side

Question 21

how do you treat a posteriorly rotated innominate with BLT? important hint hint

Answer 21

you slowly push up on the ipsilateral side and pull down on the contralateral side; instruct the patient to turn toward the ipsilateral side

Question 22

how should you treat a right anterior rotated innominate with HVLA?

Answer 22

posteriorly rotate the innominate to the direct barrier; thrust simultaneously by pulling the PSIS inferiorly in line with the greater trochanter and rotating the shoulder posteriorly

Question 23

how should you treat a right posterior rotated innominate with HVLA?

Answer 23

you anteriorly rotate the innominate to the direct barrier and then thrust simultaneously by pulling the PSIS superiorly/anteriorly toward the umbilicus and rotating the shoulder posteriorly

Question 24

how do you treat an inferior innominate shear with HVLA?

Answer 24

patient is lying lateral recumbent; you thrust simultaneously by pulling the ischial tuberosity and PSIS superiorly and rotating the shoulder posteriorly