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ITM
PALPATION OF BONY LANDMARKS- UPPER EXTREMITY AND HEAD
| Question | Answer |
|---|---|
| zygomatic bone | "cheek bone" |
| clavicle | "collar bone", from medial end at sternoclavicular joint to lateral end at acromioclavicular joint |
| Jugular(suprasternal notch) | at superior end of manubrium between medial ends of the two clavicules |
| sternum | "breast plate", midline of rib cage |
| xiphoid process | "sword like" pointed process at inferior end of sternum |
| ribs | lateral thorax |
| lateral epicondyle of humerus | lateral bump on distal end of humerus |
| medial epicondyle of humerus | medial bump on distal end of humerus"funny bone" |
| head of radius | bony knob just distal to lateral epicondyle of humerus ( with elbow extended, it can be felt rolling during supination and pronation) |
| pisiform | carpal bone at distal skin crease on medial side of anterior wrist |
| mastoid process of temporal bone | bony knob behind ear lobe |
| c7 spinous process | first prominent bump when neck is flexed |
| spinous processes of vertebrae | line of bumps down midline of back |
| spine of scapula | ridge across posterior scapula |
| acromion process of scapula | lateral end of spine of scapula; forms top of shoulder |
| vertebral border of scapula | medial border that runs parallel to vertebral coulumn |
| inferior angle of scapula | lower angle protrudes when arm placed behind back |
| axillary border of scapula | lateral border from inferior angle to axilla(armpit) |
| lateral epicondyle of humerus | lateral bump on distal end of humerus |
| medial epicondyle of humerus | medial bump on distal end of humerus |
| olecranon process of ulna | point of elbow on posterior surface between lateral and medial epicondyles |
| posterior border of ulna | sharp dorsal margin of ulna; palpated entire length of forearm |
| styloid process of ulna | a prominent knob on distal end of posterior ulna |
| styloid process of radius | distal end of lateral aspect of radius ( it is slightly more distal than styloid process of ulna) |
| metacarpal heads | "knuckles", at mp joints |
| coracoid process of scapula | bony knob lying inferior to lateral part of clavicule |