Palpation

Bony Palpation:

1) Lumbar spinous processes

2) Sacral tubercles

3) Iliac crest

4) PSIS

Soft Tissue Palpation:

1) Paraspinal muscles (palpate as a unit and individually) superficial layer • Spinalis • Longissimus • Iliocostalis

2) Sciatic nerve

3) Gluteus Maximus

4) Gluteus Medius

5) Hamstrings • Biceps femoris • Semitendinosus • Semimembranosus

Bony Palpation

Anterior:

1) ASIS

2) Iliac crest

3) Iliac tubercle

4) Greater trochanter

Posterior:

1) PSIS

2) Ischial tuberosity

3) Coccyx

Bony palpation

1) Patella

2) Medial tibial plateau

3) Tibial tubercle

4) Medial femoral condyle

5) Lateral tibial plateau

6) Lateral femoral condyle

7) Fibula head

Bony Palpation:

1) Calcaneus

2) Sustentaculum tali

3) Medial malleolus

4) Lateral malleolus

5) Talus

6) Navicular

7) Cuboid

8) 3 Cuneiforms

9) 5 Metatarsals

10) Metatarsophalangeal joints

Soft Tissue Palpation:

1) Femoral triangle borders • Sartorius • Adductor longus • Inguinal ligament

2) Quadriceps muscles (palpate as a unit and individually) • Vastus Lateralis • Vastus Medialis • Vastus Intermedius • Rectus Femoris

3) Greater trochanteric bursa

4) Gluteus medius

5) Gluteus maximus

6) Sciatic nerve

7) Cluneal nerves

8) Hamstrings • Biceps femoris • Semitendinosus • Semimembranosus

Soft Tissue Palpation:

1) Quadriceps muscles Quadriceps muscles (palpate as a unit and individually) • Vastus Lateralis • Vastus Medialis • Vastus Intermedius • Rectus Femoris

2) Infrapatellar tendon

3) Bursae • Prepatellar • Superficial infrapatellar

4) Medial meniscus

5) Lateral meniscus

6) Pes anserine area • Sartorius • Gracilis • Semitendinosus

7) Popliteal fossa

8) Lateral collateral ligament

9) Medial collateral ligament

10) Gastrocnemius muscle

Soft Tissue Palpation:

1) Tibialis posterior tendon

2) Spring ligament

3) Tibialis anterior tendon

4) Deltoid ligament

5) Fibular/peroneus brevis

6) Achilles tendon

7) Plantar aponeurosis

8) Anterior talofibular ligament

9) Posterior tibial artery

10) Dorsal pedal artery