Observation
Before palpation is performed, observation must take place . Look for any discoloration, scars, deformities, bleeding, swelling, open fractures, and postural abnormalities. Compare bilaterally and ask the patient about any abnormalities you find, they may be normal for them.
Why Palpate?
Palpation is done to look for any discrepancies. It is useful to check for inflammation, temperature changes, deformities, crepitus, and point tenderness. When palpating you should always start with the uninjured side first to get a normative feel and then move to the injured side. Palpation should ALWAYS be done bilaterally.
Bony Palpation
Anterior Posterior -
-Anterior superior iliac spine (ASIS) -Posterior superior iliac spine (PSIS)
-Iliac crest -Sacrum
-Greater trochanter -Ischial tuberosity
-Pubic symphysis -Coccyx
Soft Tissue Palpation
Anterior Posterior
-Iliopsoas -Gluteus Maximus
-Rectus Femoris -Bicep Femoris
-Vastus Lateralis -Semitendinosus
-Vastus Medialis -Semimembranosus
-Sartorius -Erector Spinae
-Quadratus Lumborum
Lateral Medial
-Gluteus Minimus -Gracilis
-Gluteus Medius -Adductor Longus
-Tensor Fascia Latae -Adductor Brevis
-External Rotation Group -Adductor Magnus
-Pectineus