Presentation on theme: "Transition from Stylion LOCATE MEDIAL CLAVICLE"— Presentation transcript:
1Transition from Stylion LOCATE MEDIAL CLAVICLE 5. Proceed to mesosternale landmarking.
2Mesosternale 1 - ENCOMPASS CLAVICLE AND FIRST RIB The point on the corpus sterni at the intersection of the mid-sagittal and horizontal planes, at the mid level of the fourth chondrosternal articulation.Locate the landmark by using a two-handed palpation.You place your index fingers on the clavicles on either side of the manubrium (sternum) while your thumbs locate the first costal spaces, thus encompassing the first ribs.
3Mesosternale 2 - MOVE THUMBS THEN FINGERS TO ENCOMPASS SECOND RIB Move your index fingers to replace the thumbs that are then lowered to the second intercostal spaces to identify the second ribs.
4Mesosternale 3 - MOVE THUMBS THEN FINGERS TO ENCOMPASS THIRD RIB You repeat the procedure for the third ribs.
5Mesosternale 4 - MOVE THUMBS THEN FINGERS TO ENCOMPASS FOURTH RIB 4. Also repeat for the fourth ribs.
6Mesosternale MARK LANDMARK ON STERNUM AT MID-JUNCTION (OR ARTICULATION) OF FOURTH RIBS Mark on the sternum at the center of the mid-junction (or articulation) of the fourth ribs.
7Mesosternale VIEW OF MARKED SITE View the mesosternale mark site.
8Iliocristale LOCATE SUPERIOR ILIAC CREST IN MID-FRONTAL PLANE Iliac Crest, Cresta Iliaca, SupracristaleMost superior point on the iliac crest in the mid-frontal plane.Locate the superior iliac crest in the mid-frontal plane.
9Iliocristale RELOCATE SUPERIOR ILIAC CREST IN MID-FRONTAL PLANE Relocate the iliac crest.
10Iliocristale MARK LANDMARK Mark the iliac crest.
11Iliocristale CHECK LANDMARK (skinfold site is superior) Check the iliac crest.
12Iliospinale LOCATE MOST INFERIOR POINT OF THE ANTERIOR SUPERIOR ILIAC SPINE (FEMALE) The most inferior tip of the anterior superior iliac spine (ASIS).In matters of adjusting for clothing, point to the site and tell the subject you wish to make a mark. Men invariably pull their shorts down somewhat, as do some women, but most women and children pull up on the leg of their shorts due to the relatively lower position of the ASIS on females.Locate by grasping the subject's right hip (at about the inguinal level) with your left hand, and use your thumb to palpate anteriorly to locate the undermost point of the anterior superior iliac spine. Occasionally, you will find it difficult to locate. Ask the subject to stand on his or her left foot, raise the heel of the right foot, and rotate the thigh and leg inwards and outwards on the ball of the right foot. The movement of the sartorius muscle can be traced to its origin at the site of the landmark.
14Iliospinale RELOCATE LANDMARK Release and relocate with the nail of the index finger.
15Iliospinale MARK LANDMARK Mark using a small cross mark.
16Iliospinale CHECK LANDMARK 4. Check using the nail of your left thumb.
17Trochanterion FOOT ELEVATED ON BOX The subject takes a short stride forward, resting the right foot on a raised object about 15 cm high.
18Trochanterion LOCATE HEAD OF FEMUR WITH HAND Stand behind the subject and locate and stabilize the subject's left hip with your left hand. Palpate the right rear hip by using the thenar eminence of your right palm (i.e., the pad on the thumb side) and pushing on the lateral aspect of the subject's gluteal muscles to locate the head of the right trochanter. It is on a line with the long axis of the femur. Locate the greater trochanter.
20Trochanterion RELEASE AND RELOCATE LANDMARK WITH INDEX FINGER Locate trochanterion. Keeping your hand on the subject's hip, have the subject carefully assume the erect stance with weight equally distributed on each foot, and the toes pointing directly forward. Use the side of your right thumb as a wedge to palpate anteriorly and upward on the head of trochanter to locate the most superior point (trochanterion).
21Trochanterion MARK LANDMARK Release and relocate. Release the pressure and reapply with the nail of your left thumb or index finger to relocate the most superior point.
22Trochanterion CHECK LANDMARK Release and relocate. Release the pressure and reapply with the nail of your left thumb or index finger to relocate the most superior point.
23Trochanterion MARKED LANDMARK Mark the site on relatively undistorted skin surface.