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Palpations Review Sports med 3 Ankle Palpations Bony • Medial: • Medial malleolus • Navicular • Talus • Cuneiforms • Lateral • Lateral malleolus • Proximal base of the 5th metatarsal • cuboid Soft • Medial: • Deltoid ligament • Lateral • Anterior talofibular ligament • Calcaneofibular ligament • Posterior talofibular • Anterior tibiofibular • Peroneal tendon • Posterior • Achilles tendon Knee Palpations • • • • • • • • • • • • Quadriceps Hamstrings MCL LCL Medial & Lateral Borders of Patella Medial & Lateral Joint Line Patellar Tendon Tibial Tuberosity Gastrocnemius PCL ACL Pes Anserinus Insertion Elbow Palpations • Bony Palpations • • • • • • Medial epicondyle Lateral epicondyle Olecranon process Radial head Radius ulna • Soft tissue palpations • Anterior • • • • Biceps brachii Brachialis Brachioradialis Pronater teres • Posterior • Triceps • supinator • Medial • Ulnar collateral ligament • Lateral • Radial collateral ligament • Annular ligament Wrist/Hand Palpations • Palpations • Bony • • • • • Scaphoid (anatomical snuffbox) Lunate Hamate (hook) Metacarpals Phalanges (proximal, middle, and distal) • Soft • Triangular fibrocartilage (TFCC) • Collateral ligaments of phalanges • Flexor and extensor muscles Shoulder Palpation Anterior structures clavicle sternoclavicular joint sternocleidomastoid muscle acromioclavicular joint trapezius deltoid coracoid process sternum ribs and costal cartilage humerus and rotator cuff muscle with thumb on subscapularis, second, third and fourth fingers will be over the insertion of other three rotator cuff muscles: supraspinatus, infraspinatus, teres minor axilla posterior wall = lats anterior wall = pec major medial wall = serratus anterior Shoulder Palpations Posterior structures • scapula • spine of scapula • medial border of the scapula • inferior angle • lateral border • supraspinatus and infraspinatus muscles Hip Bony Palpation • Anterior • Anterior Superior iliac spine (ASIS) • Iliac crest • Greater trochanter • Pubic tubercle (we wont do this one!) • Posterior • Posterior superior iliac spine (PSIS) • Ischial tuberosity (we won’t do this one!) • Sacroiliac joint