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Transition from Stylion LOCATE MEDIAL CLAVICLE

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Presentation on theme: "Transition from Stylion LOCATE MEDIAL CLAVICLE"— Presentation transcript:

1 Transition from Stylion LOCATE MEDIAL CLAVICLE
5. Proceed to mesosternale landmarking.

2 Mesosternale 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.

3 Mesosternale 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.

4 Mesosternale 3 - MOVE THUMBS THEN FINGERS TO ENCOMPASS THIRD RIB
You repeat the procedure for the third ribs.

5 Mesosternale 4 - MOVE THUMBS THEN FINGERS TO ENCOMPASS FOURTH RIB
4. Also repeat for the fourth ribs.

6 Mesosternale 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.

7 Mesosternale VIEW OF MARKED SITE
View the mesosternale mark site.

8 Iliocristale LOCATE SUPERIOR ILIAC CREST IN MID-FRONTAL PLANE
Iliac Crest, Cresta Iliaca, Supracristale Most superior point on the iliac crest in the mid-frontal plane. Locate the superior iliac crest in the mid-frontal plane.

9 Iliocristale RELOCATE SUPERIOR ILIAC CREST IN MID-FRONTAL PLANE
Relocate the iliac crest.

10 Iliocristale MARK LANDMARK
Mark the iliac crest.

11 Iliocristale CHECK LANDMARK (skinfold site is superior)
Check the iliac crest.

12 Iliospinale 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.

13 SITE IS SUPERIOR ON MALES COMPARED TO FEMALES.
Iliospinale LOCATE MOST INFERIOR POINT OF THE ANTERIOR SUPERIOR ILIAC SPINE (MALE) SITE IS SUPERIOR ON MALES COMPARED TO FEMALES. ©R Note: the iliospinale is higher on the male than the female. In the adolescent gender dimorphism, the female pelvis, opens and flares downward and the iliospinale is lower. Females pull up the leg of shorts to assist the anthropometrist in marking the site, males pull down their shorts at the waist. There is an ethic difference in height of the iliospinale, Asian, Caucasian, Blacks.

14 Iliospinale RELOCATE LANDMARK
Release and relocate with the nail of the index finger.

15 Iliospinale MARK LANDMARK
Mark using a small cross mark.

16 Iliospinale CHECK LANDMARK
4. Check using the nail of your left thumb.

17 Trochanterion FOOT ELEVATED ON BOX
The subject takes a short stride forward, resting the right foot on a raised object about 15 cm high.

18 Trochanterion 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.

19 Trochanterion PALPATE SUPERIOR ASPECT OF GREATER TROCHANTER WITH FIRM PRESSURE FROM LATERAL SIDE OF THUMB ©R The most superior point on the greater trochanter of the femur. Location of this landmark often requires persistence. 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).

20 Trochanterion 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).

21 Trochanterion 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.

22 Trochanterion 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.

23 Trochanterion MARKED LANDMARK
Mark the site on relatively undistorted skin surface.


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