Topic #11 - Iliosacral Pathologies

What is the primary fixed point in iliosacral movement?

How do iliosacral pathologies differ from sacroiliac pathologies?

What are the three types of innominate somatic dysfunction discussed?

Can bilateral iliosacral pathologies occur, and how might they differ?

Why is a specific assessment finding like a superior innominate shear not satisfactory as a clinical impression?

How is the pubis treated in relation to iliosacral pathology?

What role does the concept of muscle energy play in osteopathic practice concerning iliosacral dysfunction?

What is considered a more complex aspect of iliosacral pathology in assessment?

How are iliosacral and sacroiliac pathologies interrelated?

What is a potential accompanying dysfunction when iliosacral pathology is present?

What term describes a superior movement of the innominate bone?

What is the expected ASIS level in an inferior innominate shear?

How does trauma affect the innominate bone?

What might cause a posterior innominate rotation?

What would be an expected characteristic of the sacral sulcus in a right anterior rotation?

Which bony landmarks are primarily assessed for pelvic alignment?

What happens to the movement of the ilium on the sacrum in an upslip?

If an upslip is identified, what should be done next?

What role does weight-bearing play in correcting an innominate downslip?

What assessment technique helps confirm iliosacral pathology?

What would be the PSIS level on the affected side during an inflare?

What maneuver can be employed to level the pelvis in a prone position?

What contributes to the complexity of diagnosing rotation dysfunctions?

What is the direction to landmark the ASIS?

How does an upslip affect the movement of the ilium on the sacrum?

What is expected regarding the sacrotuberous ligament in someone with an upslip?

What muscle imbalances could be assessed in relation to pelvic dysfunction?

What tissue characteristics should be assessed during pelvic palpation?

How would manual therapy generally perform in cases of long-standing dysfunction?

What condition may make the inguinal ligament feel tight and tender?

In assessing trauma, what should you re-assess after finding a down slip?

If your findings confirm a down slip but the condition does not improve, what should you consider next?

In glides of ilium on sacrum, which direction does the innominate move more freely?

What must be taken into account regarding the ischial tuberosity and pubic tubercle?

How does the anterior rotation of the innominate affect bony landmarks?

In which directions do flares occur?

Which is more common, an upslip or a downslip, and why?

What are the three most useful bony landmarks when describing an anterior rotation?

What is the rarest category of iliosacral dysfunction?

What can impact the assessment of an iliosacral pathology?

When should hamstring length be assessed in relation to a standing flexion test?

What two assessment components can provide additional information about pelvic alignment?

What misunderstanding can arise when identifying flares during pelvic assessment?

What are the three important steps to perform before engaging in palpation of the pelvis?

When palpating the pubis, what specific anatomical structure should be focused on?

How should you position your thumbs when checking discrepancies at the ASIS?

What are the two discrepancies of interest when assessing the PSIS?

What is a common recommendation for males when palpating the pubis?

What is a 'Golfer's reach' and when can it be used during palpation?

Before landmarking the pelvis, what test should you perform first?

What is the most critical landmark for determining innominate dysfunction?

What should you observe between when performing a supine-to-sit test?

If there is an unleveling at the malleoli not related to a true leg-length discrepancy, what might it indicate?

Why is it important to determine the affected side before recording findings?

What is Jenelle's preference for positioning when palpating the ASIS?

What common mistake should be avoided when assessing pelvic landmarks?

What alternative positions can be used to check the PSIS?

What can complicate the assessment of iliosacral pathologies in patients with differing conditions on each side?

In the context of iliosacral pathology, how should a superior innominate shear be interpreted during clinical evaluations?

Why might osteopathic treatments, such as muscle energy techniques, not be widely recognized in physiotherapy for iliosacral dysfunction?

What clinical implication would you expect from palpating the sacrotuberous ligament in a patient with an upslip?

What is the significance of viewing the pubis as a separate dysfunction in the evaluation of iliosacral pathologies?

How would you differentiate between tissue texture abnormalities in ligamentous structures during palpation?

How do unilateral issues in iliosacral pathologies potentially affect bipedal movement mechanics?

In relation to pubic dysfunction, how would you expect the inguinal ligament to feel on the affected side?

Why is the concept of symptomatology in iliosacral pathologies considered difficult to quantify?

What is the expected movement of the ilium on the sacrum in the presence of a downslip?

What might influence the complexity of diagnosing rotation dysfunctions in iliosacral pathologies?

How does the fixed point of the sacrum affect the movement of the ilium in normal biomechanics?

How can related joint play assessments assist in diagnosing an upslip in the pelvis?

What notable observation should be made when palpating the ASIS and PSIS levels?

What secondary assessments would you perform to gather more information about muscle imbalances?

Why might manual therapy be ineffective for treating long-standing pelvic dysfunction?

What anatomical structures are crucial for assessing an anterior rotation?

In which direction does the innominate move more freely during glides on the sacrum?

What should you consider if an innominate down slip does not correct after treatment?

Why might a clinician doubt a finding of a down slip?

When flares occur, what anatomical context should be considered?

What is the significance of the depth of the pubic tubercle and ischial tuberosity in assessment?

Which types of iliosacral dysfunction are patients likely to present with post-trauma?

What is often misidentified as a flare in pelvic assessment?

What role does hamstring length play in assessing iliosacral pathology?

What direction would you expect an ASIS to move during an inflare?

What can complicate the assessment of pelvic dysfunction?

What is the most common type of iliosacral dysfunction encountered?

What happens to the ischial tuberosity in an anterior innominate rotation?

Which area of the anatomy is considered during the assessment of pelvic angles?

Explain how muscle imbalances might lead to an anterior innominate rotation.

What are the consequences of an upslip in terms of joint glides during movement?

What is the expected position of the iliac crest on the same side during a superior innominate shear?

If a patient presents with a right posterior rotation, what would you expect regarding the right sacral sulcus?

How might a right anterior innominate rotation impact ASIS levels?

Describe the movement of the innominate bone in a downslip scenario.

What might indicate a lumbosacral dysfunction in conjunction with iliosacral pathologies?

What could be a reason for a patient experiencing an inflare of the innominate?

In terms of PSIS levels, what is expected during an inferior innominate shear?

During assessment, which 4 bony landmarks are primarily analyzed for pelvic alignment?

What assessment technique could provide confirmation of an iliosacral pathology?

What is the effect of trauma on the innominate bone's position immediately after an injury?

What principle explains why self-correction may occur during weight-bearing activities in the presence of a downslip?

What is a common positioning method for males during pubic palpation?

If PSIS levels are higher on one side, what type of dysfunction could this indicate?

What is the primary focus when palpating the pubis?

What does Jenelle use to check the ASIS positioning?

Which discrepancies are primarily assessed when evaluating the PSIS?

What does a functional leg-length discrepancy indicate when repositioning malleoli?

In assessing the ischial tuberosities, what key aspect should be checked?

What are two essential steps to perform before landmarking the pelvis?

What imaginary line is recommended to assist in evaluating ASIS positioning?

What is a common mistake when recording findings on discrepancies?

When palpating in a supine position, which landmark does Jenelle often omit?

What should be done if there is unlevelling at the malleolus unrelated to leg-length differences?

What is the significance of the differences in ASIS positioning?

What test follows a finding of unequal malleoli to assess for functional discrepancies?

What unique technique can assist in reaching the ischial tuberosities?

How do iliosacral pathologies complicate bilateral assessments in pelvic dysfunction?

What is a key difference between assessing iliosacral pathologies and diagnosing them?

Why might practitioners hesitate to classify a superior innominate shear as a pathology?

What does the term 'innominate somatic dysfunction' encompass in iliosacral pathologies?

How does the concept of multi-axial assessment relate to iliosacral dysfunctions?

How is the pubis treated in relation to iliosacral pathologies, according to osteopathic perspectives?

Why might clinical findings in pelvic evaluations lead to more questions than answers?

What is the implication of recognizing a restriction in iliosacral movement?

What are the landmark directions for the ASIS?

If an upslip is suspected, what movement is expected from the ilium on the sacrum?

How would manual therapy be ineffective in cases of long-standing dysfunction?

What is an expected condition of the sacrotuberous ligament in someone with a downslip?

Which structure would likely feel tight and tender in a pubic dysfunction?

What additional assessment might improve understanding of pelvic alignment?

What should be observed when palpating the quadratus lumborum in relation to slips?

What elements should be assessed in relation to tissue texture abnormalities?

What is typically associated with the presence of sacroiliac pathologies?

In the context of iliosacral dysfunction, what is an 'upslip'?

How might a short hip flexor affect iliosacral alignment?

What would you expect to find in the sacral sulcus with a right anterior rotation?

What does a deeper sulcus on the affected side indicate in posterior rotation?

Which bony landmarks are assessed in iliosacral dysfunction?

What happens to the innominate bone that's experiencing an upslip during a joint glide?

What might cause a downslip in the innominate bone?

What is the expected position of the ASIS during an inferior innominate shear?

In the assessment of iliosacral pathologies, how critical is muscle balance?

How does a downslip affect movement during functional activities?

How can one assess for potential lumbosacral dysfunction alongside iliosacral pathology?

What confirmation technique can be used alongside landmark assessment in iliosacral pathology?

What would happen during an anterior rotation concerning pelvic landmarks?

What anatomical change is expected from muscle imbalance involving hip flexors and hamstrings?

If a standing flexion test indicates a down slip, what should you initially consider for treatment?

What should be noted if a down slip does not correct upon treatment?

What influences the plane of movement concerning the ischial tuberosity and pubic tubercle?

What are the main directional components of flares during assessment?

What is often mistaken for a flare during pelvic assessment?

Which type of injury is most commonly associated with trauma?

Why is it logical to doubt the findings of a down slip without an obvious mechanism of injury?

What commonly occurs when both iliosacral and sacroiliac pathologies are present?

What is the effect of an anterior rotation on bony landmarks?

What is the expected finding with a superior innominate shear?

Before performing a standing flexion test, what should be assessed first?

During a standing pelvis alignment assessment, which two components provide valuable information?

What technique could you use to ascertain discrepancies when assessing the ASIS?

What follow-up test should be conducted if a discrepancy is found between the malleoli?

What specific action should be taken if the malleoli are found to be unequal during the supine-to-sit test?

What should you consider if the right ASIS is higher than the left with no PSIS difference?

How are the iliac crests relevant in palpation and positioning?

What is a Golfer's reach and how does it relate to palpation?

What might be indicated by unequal malleoli, not attributable to true leg-length discrepancies?

What should be noted if discrepancies are observed in the ASIS across different planes?

What landmarks are observed to make determinations about innominate dysfunction?

What should be established during palpation of the ischial tuberosities?

What is a characteristic that can complicate assessments during palpation?

Muscle imbalances only refer to strength differences, regardless of muscle length.

What is one primary structure assessed for pelvic dysfunction related to pubic issues?

In an upslip, the ilium is expected to move freely _____ and be restricted downwards.

Match the following pelvic landmarks with their respective assessment directions:

Which assessment technique can help confirm iliosacral pathology?

Manual therapy is typically very effective in treating long-standing dysfunction.

What should you be looking for when assessing tissue texture abnormalities?

What causes an upslip of the innominate bone?

An iliosacral dysfunction can exist independently of a sacroiliac dysfunction.

What is one expected finding in a right posterior rotation of the innominate bone?

A condition where the ASIS is higher on the same side is known as an __________ innominate rotation.

Match the term with its description.

What is expected during the assessment of an upslip when performing joint glides?

Innominate movements during an inferior slip are restricted from downward movement.

What common activity might lead to a downslip of the innominate bone?

Shortened ___________ on one side can lead to an anterior rotation of the innominate bone.

How does weight-bearing impact a downslip of the innominate bone?

One side of the pelvis is often more significant in dysfunctions than the other.

List two bony landmarks used to assess pelvic alignment.

In case of a right anterior rotation, the right sacral sulcus would be __________.

Which of the following describes the movement of the innominate bone during anterior and inferior movement?

What movement is primarily discussed in relation to iliosacral pathologies?

Iliosacral and sacroiliac pathologies are the same thing.

What is classified as an innominate somatic dysfunction from an osteopathic perspective?

The ______________ is considered the fixed point in iliosacral movement.

Match the types of innominate somatic dysfunction with their descriptions:

What issue can complicate the assessment of iliosacral pathologies?

A superior innominate shear is considered a pathology.

What is one technique mentioned that has been adopted into osteopathic practice?

What should be done first before starting the palpation of the pelvis?

When palpating for discrepancies, it is important to focus on both superior-inferior and anterior-posterior shifts equally.

What anatomical structures should be palpated at the pubis?

To check for discrepancies at the ASIS, use the ______ joint of the index finger.

Match the following bony landmarks with their relevant discrepancies:

What might indicate a functional leg-length discrepancy when checking malleoli?

You should palpate the iliac crest while the patient is in a supine position.

What should you ask the patient about when palpating the pubis?

In order to assess the PSIS, thumbs should run ______ across.

What is a common mistake made when recording ASIS and PSIS discrepancies?

When checking for upslips, the typical direction of movement is upward.

What type of reach can be employed to assist with palpation of the ischial tuberosity?

The landmark check for iatrogenic dysfunction should include examining the ______.

Match the following palpation methods with their purpose:

Which type of dysfunction is considered the rarest among iliosacral dysfunctions?

An upslip is more common than a down slip due to its mechanism of occurrence.

What should you do first if your findings suggest a down slip?

The bony landmarks commonly assessed during anterior rotation are ASIS, PSIS, and ___ .

Match the type of dysfunction with their respective characteristics:

What is one reason that the ischial tuberosity and pubic tubercle must be considered during assessment?

Patients can present with a combination of iliosacral and sacroiliac pathologies.

What is the common presentation associated with shear injuries?

The movements in which flares occur can be described as ___ and ___ .

What position should you assess for hamstring length in relation to the standing flexion test?

Rotations of the pelvis cannot be associated with acute trauma.

Identify one factor that can complicate the assessment of pelvic dysfunction.

During an inflare, the ASIS moves toward the midline, while the PSIS moves ___ .

What is often incorrectly identified when assessing flares?

Match the types of dysfunction to their description:

How does iliosacral dysfunction affect the biomechanics of the pelvis?

What is the distinction between iliosacral pathologies and pelvic dysfunction?

In what scenarios can one expect to see differing iliosacral pathologies on each side of the pelvis?

Why should palpation of the pelvis include assessment of the pubis?

What implications does recognizing a superior innominate shear have for clinical practice?

What factors contribute to the complexity of diagnosing and managing iliosacral dysfunctions?

How do anterior and posterior innominate rotations affect the pelvic alignment and function?

What role does the sacrum play in iliosacral movement?

What is the expected change in the sacrotuberous ligament in an individual with a downslip?

When assessing the PSIS in a normal pelvis, why are they positioned above the ASIS?

How can you confirm if an upslip is present through joint play assessment?

What symptoms are likely observed on the inguinal ligament when someone has a pubic dysfunction?

What are tissue texture abnormalities (TTAs) specifically examined during pelvic palpation?

What are the implications of finding muscle imbalances during the assessment of pelvic dysfunction?

Describe the relationship between the quadratus lumborum and pelvic dysfunction assessment.

Why might manual therapy have limited effectiveness in addressing long-standing pelvic dysfunction?

What should be re-assessed if a trauma was described and a down slip is found?

What direction does the innominate bone move more freely when gliding ilium on the sacrum?

What is typically found alongside iliosacral pathology in most cases?

In the context of hip dysfunction, what should be considered regarding the ischial tuberosity and pubic tubercle?

Why is it logical to doubt findings of a down slip without a suggestive mechanism of injury?

In what condition would the PSIS level be higher on the affected side?

How does an anterior innominate rotation affect the sacral sulcus on the affected side?

What are the two primary ways flares can be defined in movement?

What is the most common form of iliosacral dysfunction?

What happens to the movement of the innominate during an upslip?

What alteration occurs to the ASIS and PSIS during an inflare?

What common mechanism can lead to an upslip?

Which bony landmarks are most useful for describing an anterior rotation?

What is an expected assessment finding in a patient with a right anterior innominate rotation?

Which bony landmarks are crucial for assessing pelvic alignment?

What is often misidentified as a flare during pelvic exams?

What might make discovering a posterior rotation more challenging?

What can significantly affect the assessment of iliosacral pathology?

What can be inferred if the innominate bone is noted to be stuck in a superior innominate shear?

Which type of innominate dysfunction typically allows for more lateral movement?

Why is hamstring length assessment crucial before performing a standing flexion test?

If an upslip is suspected, what should be confirmed through motion assessment?

What anatomical distinction exists between the pubic tubercle and ischial tuberosity in context to their joints?

What hip condition could result from shortened hip flexors on one side?

What observation might indicate a downslip during assessment?

What is one key reason that contributes to the frequency of right anterior and left posterior rotations?

Which condition would make the sacrum sulcus deeper on the affected side?

What happens to the ASIS level in an upslip scenario?

What typical activity might contribute to a downslip in the pelvis?

What are the three critical actions you should take before positioning for palpation?

When palpating the pubis, what specific feature are you checking for discrepancies?

How can you visually align your assessment when evaluating the ASIS?

What does an unlevelling of the malleoli after a supine-to-sit test indicate?

What anatomical structures are commonly referenced for palpation during the evaluation of pelvic alignment?

What is the significance of palpating the iliac crests in a supine position?

How does the position of the patient affect your palpation technique for PSIS discrepancies?

What is the common mistake when recording discrepancies during landmarking of the pelvis?

How can the Golfer's reach technique aid in palpation, especially for those with height limitations?

What should you do if you notice a discrepancy between the ASIS and PSIS during palpation?

What information can you glean from palpating the depth of the ischial tuberosity?

Why is understanding pathologies important when assessing pelvic landmarks?

What does it mean if ASIS is higher on one side with a negligible PSIS difference?

What role does palpation of the pubic tubercle play in assessing pubic dysfunction?

What might indicate a need for further assessment if findings show a consistent down slip?