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Tibiale Laterale PALPATE WITH SIDE OF THUMB FROM ANTERIOR TOWARDS POSTERIOR The most proximal point of the margo glenoidalis of the lateral border of.

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Presentation on theme: "Tibiale Laterale PALPATE WITH SIDE OF THUMB FROM ANTERIOR TOWARDS POSTERIOR The most proximal point of the margo glenoidalis of the lateral border of."— Presentation transcript:

1 Tibiale Laterale PALPATE WITH SIDE OF THUMB FROM ANTERIOR TOWARDS POSTERIOR
The most proximal point of the margo glenoidalis of the lateral border of the head of the tibia. Approach.  It is often easier for you to locate the landmark by having the subject either flex his or her leg at the knee, or sit down.

2 Tibiale Laterale RELEASE AND RELOCATE WITH INDEX FINGER
Locate.  Find the depression or dimple in the knee, bounded by a triad of prominences: the epicondylar femur, the antero/lateral portion of the head of the tibia, and the head of the fibula.  From this orientation, press inward using the side of your right thumb as a wedge.  Locate the border of the tibia, and palpate posteriorly until you locate the landmark, which is the most superior point.  This is at least one-third of the anterior- posterior distance.

3 Tibiale Laterale MARK LANDMARK
Release and relocate with the nail of the index finger.

4 Tibiale Laterale VIEW LANDMARK
Mark with a small horizontal line. Check pressing downward using the nail of your right thumb.  (The tibiale laterale is approximately in the same transverse plane as the tibiale mediale.)

5 Tibiale Laterale ALTERNATE LOCATING PROCEDURE
An alternate technique for obtaining tibiale laterale involves positioning the subject with the foot on a box and the leg flexed to a 90 degree angle at the knee.

6 Tibiale Laterale LOCATE PROXIMAL BORDER OF TIBIA
Locate tibiale laterale by finding the depression or dimple in the knee, bounded by a triad of prominences: the epicondylar femur, the antero/lateral portion of the head of the tibia, and the head of the fibula.  From this orientation, press inward using the side of your right thumb as a wedge.  Locate the border of the tibia, and palpate posteriorly until you locate the landmark, which is the most superior point.  This is at least one-third of the anterior-posterior distance.

7 Tibiale Laterale VIEW LANDMARK
Mark with a small horizontal line. Check pressing downward using the nail of your right thumb.  (The tibiale laterale is approximately in the same transverse plane as the tibiale mediale.)

8 Tibiale Mediale LOCATE PROXIMAL BORDER OF TIBIA
Tibiale Mediale and Sphyrion TibialeTibiale Mediale These landmarks define the length of the tibia.  The subject sits and crosses the right leg over the left thigh, presenting the medial surface of the tibia for the location of the tibiale mediale and the sphyrion tibiale.

9 Tibiale Mediale RELEASE AND RELOCATE
Tibiale Mediale is the most proximal point of the margo glenoidalis of the medial border of the head of the tibia. Locate the proximal border of the tibia with the nail of your right thumb.

10 Tibiale Mediale MARK ©R Release and relocate with the nail of your left index finger. Mark with a short line in the transverse plane.

11 Sphyrion Tibiale LOCATE MOST INFERIOR POINT ON MEDIAL MALLEOLUS
Sphyrion Tibiale is the most distal point of the medial malleolus of the tibia. Locate the sphyrion tibiale with your right thumb nail.  This is the most distal point on the tibia (not the lateral protuberant malleolare).

12 Sphyrion Tibiale RELEASE AND RELOCATE
Release and relocate with the nail of your left index finger.

13 Sphyrion Tibiale MARK LANDMARK
Mark with a short line in the transverse plane.

14 Sphyrion Tibiale CHECK LANDMARKS
Check with the nail of your left index finger or right thumb by pushing superiorly to the designated landmark.

15 Tibiale Mediale & Sphyrion Tibiale CHECK LANDMARKS
Check marked length of the tibia from tibiale laterale to sphyrion tibiale.

16 Tibiale Mediale & Sphyrion Tibiale VIEW LANDMARKS
View tibiale mediale and sphyrion tibiale landmarks.


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