How do you palpate the scapula?
How do you palpate the scapula?
The spine of the scapula (B) can be palpated all the way to the medial border of the scapula. The spine of the scapula can be best palpated if you strum it perpendicularly by moving your palpating fingers up and down across it as you work your way posteriorly and then medially.
How do you palpate a deltoid?
If we want to palpate the middle deltoid, we place our fingers just distal to the acromion process. And if we want to palpate the posterior deltoid, we place our fingers just inferior to the spine of the scapula. Hence, knowing the attachments of the target muscle is the first necessary step for successful palpation.
How do we palpate?
Palpation Palpation requires you to touch the patient with different parts of your hands, using varying degrees of pressure. Because your hands are your tools, keep your fingernails short and your hands warm. Wear gloves when palpating mucous membranes or areas in contact with body fluids. Palpate tender areas last.
How do you palpate infraspinatus?
Procedure. The infraspinatus muscle is palpated by flat palpation perpendicular to the muscle fiber direction against the infraspinous fossa. In the upper portion, the fibers run in a direction similar to that of the spine of the scapula and more obliquely in the outer lower portion.
How do you palpate Suprascapular notch?
Palpation along this margin from medial to lateral will reveal the sharp superior edge of the transverse ligament just prior to the neck of the coracoid. A small area of the supraspinatus may need to be stripped from the superior edge of the scapula with a periosteal elevator to fully expose the nerve and notch.
What are the 4 T’s of palpation?
In massage therapy training, most learn about the “4 Ts” of palpation: Tone, Texture, Temperature, and Tenderness. This is an extremely useful list that aids the therapist in remembering and organizing; what is being felt, what that might tell us about the state or acuity of the tissues and what to do about it.
Can you palpate subscapularis?
The subscapularis muscle belly can only be reached by bringing the hand in between the scapula and the thorax. It cannot really be palpated. The tendinous insertion on the lesser tuberosity, however, can easily be palpated.
Can you palpate infraspinatus?