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LE
(L) Difference
50cm 49cm 1cm
47cm 45cm 2cm UE LANDMARKS
76cm 73cm 3cm
FINDINGS: 1. Acromion process
2. Medial Epicondyle of humerus
SIGNIFICANCE:
LE LANDMARKS
- The 1st one to be measure is
the BASELINE 1. Patella
- Unless the patient has a 2. Medial Tibial Plateau
neuromuscular disease wherein 3. Lateral/Medial Malleoli
only one LE has atrophied etc, MOST COMMON POINTS
get the measurement of the
normal limb: baseline - 6 inches below patella
- 2 inches below patella
EXTENSOR LAG - 4 inches below patella
- 6 inches above patella
- Heel height difference
- 9 inches above patella
- Usually caused by tight hamstrings,
contracture, etc. Procedure:
- Can be seen in Pts ACL
reconstruction, surgery and knee UE
problem. - Patient lies in supine
- Lack of motion in knee extension - Measure in cm
especially in the terminal range (0- - Compare with other side
20)
- Procedure LE
a. Put towel on patella - Supine or short sitting
b. Position the patient in prone
c. Neutral pelvis 3 TRIALS THEN GET AVERAGE (cm)
HAND SWELLING - Just distal to navicular tuberosity
- Plantar aspect of foot
FIGURE OF 8 - 5th MTP base
- Used in irregular surfaces/distal - Tibialis Anterior Tendon
exterior such as hands and feet - Distal to tip of medial malleolus
- Distal to tip of lateral malleolus
HAND PROCEDURE - Tibialis Anterior
- Ulnar styloid process OTTAWA ANKLE RULES
- Distal aspect of radial styloid
process Tenderness over lateral malleolus to 6
- 5th MCP Joint Line cm proximally
- Palmar aspect of 2nd MCP Tenderness over medial malleolus to 6
- Back to Ulnar Styloid Process cm proximally
Tenderness over navicular
FEET Tenderness over base of 5th metatarsal
- Long sitting VOLUMETRIC MEASUREMENT
- Tibialis Anterior Tendon