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Spine – From AC joint palpate across the upper part of the posterior surface of the scapula. It is a long (3”) thin projection, which runs medial to lateral, at T3 level. Acromion process – Located on the lateral part of the shoulder, right above the shoulder joint. Coracoid process – Palpate under the lateral part of the clavicle (about one inch below the anterior edge of the clavicle). Medial (vertebral) border – The edge of the scapula closest to the vertebral column (about 2 inches from the spinous processes). The medial border runs in a superior-inferior direction. Lateral (axillary) border – The lateral (or outer) edge of the scapula located between the inferior angle and the shoulder joint. Superior medial angle – Located above the vertebral border or medial aspect of scapula, level T2. Inferior angle – Located between vertebral and axillary borders. The “point” at the bottom of scapula, level T7.
5. 6. 7. Clavicle:
“Collar bone” – anterior from sternum to acromion Humerus: 1. Greater tuberosity – Located just below acromion when arm is resting by the side. (proximal end of humerus)
2. Lesser tuberosity – Easiest to palpate with arm in shoulder external rotation. located medial to greater tuberosity on proximal end of humerus. 3. 4. Intertubercular (Bicipital) Grove – Located between greater and lesser tuberosity; easiest to palpate with arm in external rotation. Medial and lateral epicondyles – Palpated on medial and lateral sides, respectively, of distal end of humerus (2 “bumps” on distal end).
Capitata – Proximal to the base of the third metacarpal between the dorsal tubercle of the radius and the third metacarpal. Hamate (hook) – Located slightly distal and radial to the pisiform. Styloid process – In the anatomic position. In supination. Radius: 1. 3. Triangular – Located just distal to the ulnar styloid process. also slightly posterior. To palpate. Olecxranon fossa – indentation on posterior of elbow Head – From lateral epicondyle of humerus move distally about 1 inch. Head of radius palpated easiest as you pronate and supinate. styloid is lateral just above wrist joint. radially deviate the hand. Medial and lateral supracondylar ridge – above the medial and lateral epicondyles on distal end of humerus. 4. Styloid process – In the anatomic position. In pronation. 5.5. it can be palpated on medial-anterior aspect of wrist (just proximal to wrist). Feels like a small longitudinal bony prominence or module. Is more proximal than radial styloid process. styloid process is on medial aspect of wrist. 3. Head – On distal end of ulna. head is the projection on posterior aspect (ulnar side) of wrist. Dorsal tubercle – On distal end of radius on posterolateral aspect of wrist. Anterior border – Ridge just above wrist on lateral aspect of lower forearm. Carpals: 1. Trapezium – On radial side of wrist where it articulates with 1st metacarpal to form saddle joint. 2. 3. 6. Pisiform – “Pea-shaped” bone on ulnar side of hand (palmar surface) Scaphoid – On radial side of wrist – easiest to palpate in “floor” of anatomical snuffbox (proximal to thumb) as you move hand into ulnar deviation. 2. . 4. 2. Ulna: 1. Most easily palpated as you flex the wrist. 6. Easiest to palpate as you flex and extend the thumb. Olecranon – “Funny bone” – long protuberance on posterior of elbow.
3. Fibula: 1. Base. LOWER EXTREMITY Femur: 1. 2.anterior ridge along tibia. Head – Move distally and posteriorly from lateral femoral condyle.7. head of metacarpals and phalanges. 5. Tibial tuberosity – on proximal end. medial aspect. anterior aspect just below patella. 4. 3. Tibial plateau Lateral condyle Shaft Greater trochanger – lateral aspect of thigh just distal to hip joint. 2. body. (insertion for quadriceps tendon) Tibial spine – “Shin bone” . 3. 4. 6. Lateral malleolus – Large protuberance on lateral aspect of ankle. Medial and lateral condyles – on distal end of femur Medial and lateral epicondyles (Epicondyles) . Patella: “Knee cap” – anterior aspect of knee (a sesamoid bone located in quadriceps tendon). Tibia: 1. Medial malleolus – large protuberance on medial aspect of ankle. Shaft Styloid process Medial condyle – on proximal end of tibia. 2. 7.
Peroneal tubercle of the calcaneus – On lateral aspect of foot just distal to lateral malleolus. 5. 3. 4. Feels like a small ridge. Sustentaculum tali – Located between the head of the Talus and the medial malleolus. Calcaneus – heel bone. 2. Head of the Talus – Just proximal to navicular tubercle. 6. Naviculr tubercle – On medial border of foot.Tarsals: 1. Medial tubercle of calcaneus – lies on the medial plantar surface of the calcaneus (not usually sharp or distinct unless it is associated with a heel spur. . especially palpable in eversion. large bony prominence.