CLET LAB- Otho Palpation

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dcmommy13
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99040
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CLET LAB- Otho Palpation
Updated:
2011-08-31 09:54:45
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Notecards of bony & soft tissue palpations from Orthopedic Diagnosis.
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  1. CERVICAL PALPATION.
    • -Bony: (10).
    • -Soft tissue: (9).
  2. CERVICALS: BONY (10).
    WARN PATIENT ABOUT TOUCHING NECK.
    • 1. Occiput.
    • 2. EOP.
    • 3. Superior nuchal line.
    • 4. MP.
    • 5. Cervical SP's.
    • 6. Facets.
    • 7. Hyoid.
    • 8. Thyroid cartilage.
    • 9. First cricoid ring: inferior to Adam's apple.
    • 10. Mandible.
  3. CERVICALS: SOFT TISSUE (9).
    • 1. SCM.
    • 2. Anterior lymph node chain.
    • 3. Posterior lymph node chain.
    • 4. Thyroid gland.
    • 5. Carotid pulse.
    • 6. Supraclavicular fossa: L-M.
    • 7. Traps.
    • 8. Greater occipital N's.
    • 9. Superior nuchal lig: along SP's.
  4. SHOULDER PALPATION.
    • -Bony: 11.
    • -Soft tissue: 5.
  5. SHOULDER: BONY (11).
    • 1. SC- articulation.
    • 2. Clavicle.
    • 3. AC- articulation.
    • 4. Acromion.
    • 5. Spine/scapula.
    • 6. Scapula.
    • 7. Scapulothoracic articulation.
    • 8. Greater tuberosity.
    • 9. Bicipital groove.
    • 10. Lesser tuberosity.
    • 11. Coracoid process.
  6. SHOULDER: SOFT TISSUE (5).
    • 1. Prominent muscles: SCM, deltoid, biceps, traps. rhomboid major & minor (6).
    • 2. Rotator cuff muscles: SITS.
    • ---Supraspinatus
    • ---Infraspinatus
    • ---Teres minor: below infraspinatus (chicken wing).
    • ---Subscapularis
    • 3. Axillary borders:
    • ---Ant: pec minor.
    • ---Medial: serratus anterior.
    • ---Axillary lymph nodes.
    • ---Post: lats.
    • ---Lateral: biceps tendon.
    • 4. Subarcomial bursa: move arm while finding.
    • 5. Subdeltoid bursa: under the ant. deltoid.
  7. ELBOW PALPATION.
    • -Bony: 9.
    • -Soft tissue: 10.
  8. ELBOW: BONY (9).
    • 1. Medial epicondlye.
    • 2. Medial supracondylar line.
    • 3. Groove for the ulnar N.
    • 4. Trochlea.
    • 5. Olecranon.
    • 6. Olecranon fossa.
    • 7. Lateral epicondyle.
    • 8. Lateral supracondylar line.
    • 9. Radial head.
  9. ELBOW: SOFT TISSUE (10).
    • 1. Biceps.
    • 2. Triceps.
    • 3. Brachial A.
    • 4. Supracondylar lymph nodes.
    • 5. MCL: runs S-I, find by running fingers M-L.
    • 6. LCL.
    • 7. Olecranon bursa.
    • 8. Wrist flexors: hand across arm trick.
    • ---Pronator teres.
    • ---FCR.
    • ---Palmaris longus.
    • ---FCU.
    • 9. Elbow extensors: mobile wad of 3.
    • ---Brachioradialis.
    • ---ECRL.
    • ---ECRB.
    • 10. Ulnar N.
  10. WRIST & HAND.
    • -Bony: 13.
    • -Soft tissue: 10.
  11. WRIST & HAND: BONY (13).
    • 1. Radial styloid process.
    • 2. Scaphoid.
    • 3. Trapezium: thumb.
    • 4. Trapezoid: below index finger.
    • 5. Lister's tubercle: base of hand.
    • 6. Lunate: means moon... comes out during F&E.
    • 7. Capitate: base /3rd finger... put a cap on it.
    • 8. Ulnar styloid process.
    • 9. Triquetrium.
    • 10. Pisiform.
    • 11. Hook/hamate.
    • 12. Metacarpals.
    • 13. Phalanges.
  12. WRIST & HAND: SOFT TISSUE (10).
    • 1. Radial A.
    • 2. Ulnar A.
    • 3. Palmaris longus tendon.
    • 4. Carpal tunnel region.
    • 5. Thenar eminance.
    • 6. Hypothenar eminance.
    • 7. Palmar aponeurosis.
    • 8. Tissue/PIP.
    • 9. Tissue/DIP.
    • 10. Distal tufts.
  13. LUMBAR PALPATION.
    • -Bony: 4.
    • -Soft: 6.
  14. LUMBAR: BONY (4).
    • 1. Iliac crest.
    • 2. PSIS.
    • 3. Sacral tubercles.
    • 4. Lumbar SP's.
  15. LUMBAR: SOFT TISSUE (6).
    • 1. Anterior abdominal muscles.
    • 2. Hamstrings:
    • ---Biceps femoris.
    • ---Semitendinosus.
    • ---Semimembranosus.
    • 3. Glute Med.
    • 4. Glute Max.
    • 5. Sciatic N: 1/2 way between GT & IT, then rotate leg.
    • 6. Paraspinal muscles:
    • ---Spinalis.
    • ---Longissimus.
    • ---Iliocostalis.
  16. HIP & PELVIS PALPATION.
    • -Bony: (7).
    • -Soft: (8).
  17. HIP & PELVIS: BONY (7).
    • ANTERIOR:
    • 1. Iliac crest.
    • 2. ASIS.
    • 3. Iliac tubercle: anterosuperior aspect/crest, above ASIS.
    • 4. Greater trochanter.
    • POSTERIOR:
    • 5. PSIS.
    • 6. Ischial tube.
    • 7. Coccyx.
  18. HIP & PELVIS: SOFT TISSUE (8).
    • ANTERIOR:
    • 1. Cluneal N's: N's run I-S, fanning over the iliac crest, palpate P-A.
    • 2. Greater trochanteric bursa.
    • 3. Femoral triangle borders:
    • ---Sartorius.
    • ---Adductor longus: from symphysis pubis.
    • ---Inguinal ligament: leg bent to make a 4.
    • 4. Quads:
    • ---Vastus lateralis.
    • ---Vastus intermedius & rectus femoris.
    • ---Vastus medialis.
    • POSTERIOR:
    • 5. Glute max.
    • 6. Glute med.
    • 7. Sciatic N.
    • 8. Hamstrings:
    • ---Biceps femoris.
    • ---Semitendinosus.
    • ---Semimembranosus.
  19. KNEE PALPATION.
    • -Bony: 7.
    • -Soft tissue: 11.
  20. KNEE: BONY (7).
    • 1. Patella.
    • 2. Tibial tubercle.
    • 3. Medial tibial plateau: knee @ 90, externally rotate & hold like rock climbing.
    • 4. Medial femoral condyle: knee @ 90, in neutral.
    • 5. Lateral tibial plateau: knee @ 90, internally rotate & hold like rock climbing.
    • 6. Lateral femoral condyle: knee @ 90, in neutral.
    • 7. Fibular head: lateral.
  21. KNEE: SOFT TISSUE (11).
    • 1. Quads:
    • ---Vastus lateralis.
    • ---Vastus intermedius & rectus femoris.
    • ---Vastus medialis.
    • 2. Prepatellar bursa.
    • 3. Infrapatellar tendon.
    • 4. Superficial infrapatellar bursa.
    • 5. LCL: @ 9:00, poke!
    • 6. MCL: @ 3:00, find via external rotation.
    • 7. Medial meniscus: @ 4:30, poke!
    • 8. Lateral meniscus: @ 7:30, poke!
    • 9. Pes anserine:
    • ---Sartorius.
    • ---Gracilis.
    • ---Semitendinosus.
    • 10. Popliteal fosssa.
    • 11. Gastrocnemius.
  22. FOOT & ANKLE PALPATION.
    • -Bony: 10.
    • -Soft tissue: 10.
  23. FOOT & ANKLE: BONY (10).
    • 1. Lateral malleolus.
    • 2. Medial malleolous.
    • 3. Calcaneus.
    • 4. Sustentaculum tali: medial.
    • 5. Talus.
    • 6. Navicular.
    • 7. Cuboid: have patient flex foot, cuboid is under the muscle mass.
    • 8. Cuneiforms:
    • ---Medial.
    • ---Intermediate.
    • ---Lateral.
    • 9. Metatarsals.
    • 10. Metatarsophalangeal joints.
  24. FOOT & ANKLE: SOFT TISSUE (10).
    • 1. Achilles tendon.
    • 2. Peroneous brevis: down & out.
    • 3. Anterior talofibular ligament: up & in... lateral melleolus --> talus.
    • 4. TA tendon.
    • 5. TP tendon: behind medial malleolus.
    • 6. Posterior tibial A.
    • 7. Deltoid ligaments: 3 lateral ankle ligaments.
    • 8. Spring ligament: calcaneo-navicular.
    • 9. Plantar aponeurosis.
    • 10. Dorsalis pedis A.

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