9: Innominates

Question 1

Three parts of the innominate bone

Answer 1

Ilium, pubis, ischium

Question 2

Four anterior bony landmarks

Answer 2

Iliac crest, ASIS, pubic tubercles, medial malleolus

Question 3

Three posterior bony landmarks

Answer 3

PSIS, sacral base, inferior lateral angles

Question 4

Ring of seven joints in the pelvis

Answer 4

2 lumbosacral joints + 2 sacroiliac joints + 2 femoroacetabular joints + 1 pubic symphysis

Question 5

Five major pelvic ligaments

Answer 5

Iliolumbar, anterior sacroiliac, posterior sacroiliac, sacrospinous, sacrotuberous

Question 6

Hip flexors vs extensors

Answer 6

Hip flexors: iliopsoas, rectus femoris

Hip extensors: glut max, hamstrings

Question 7

Three hip abductors

Answer 7

glut med, glut min, TFL (?)

Question 8

One hip external rotator

Answer 8

Piriformis

Question 9

What % of all MSK chronic low back pain is from the sacroiliac joint?

Answer 9

15-25%

Question 10

Four steps for assessing innominates for somatic dysfunction

Answer 10

1. Palpate for TART
2. Lateralis action tests
3. Palpate anterior and posterior bony landmarks
4. Come up with the diagnosis for SD

Question 11

Two lateralization tests

Answer 11

1. ASIS compression test

2. Standing flexion test

Question 12

What is a positive ASIS compression test?

Answer 12

Hard end feel/restriction on one side -> thats the side with SD

Question 13

Positive standing flexion test

Answer 13

Whichever PSIS moves more superior -> side with SD