City Physio Care

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23/01/2025

क्या आप भी सर्दी के मौसम में जोड़ो के अकड़न एवं दर्द से परेशान है तो, एक बार अवश्य संपर्क करें-

15/04/2024

🔈 PALPATION OF UPPER LIMB BONES

The head of the humerus is surrounded by muscles, except inferiorly; consequently, it can be palpated only by pushing the fingers well up into the axillary fossa (armpit). The arm should not be fully abducted; otherwise, the fascia in the axilla will be tense and impede palpation of the humeral head. When the arm is moved and the scapula is fixed (held in place), the head of the humerus can be palpated.

The greater tubercle of the humerus may be felt with the person’s arm by the side on deep palpation through the deltoid, inferior to the lateral border of the acromion. In this position, the greater tubercle is the most lateral bony point of the shoulder and, along with the deltoid, gives the shoulder its rounded contour. When the arm is abducted, the greater tubercle is pulled beneath the acromion and is no longer palpable.

The lesser tubercle of the humerus may be felt with difficulty by deep palpation through the deltoid on the anterior aspect of the arm, approximately 1 cm lateral and slightly inferior to the tip of the coracoid process. Rotation of the arm facilitates palpation of this tubercle. The location of the intertubercular sulcus or bicipital groove, between the greater and the lesser tubercles, is identifiable during flexion and extension of the elbow joint by palpating in an upward direction along the tendon of the long head of the biceps brachii as it moves through the intertubercular groove.

The shaft of the humerus may be felt with varying distinctness through the muscles surrounding it. No part of the proximal part of the humeral shaft is subcutaneous.

The medial and lateral epicondyles of the humerus are subcutaneous and easily palpated on the medial and lateral aspects of the elbow region. The knob-like medial epicondyle projecting posteromedially, is more prominent than the lateral epicondyle.

When the elbow joint is partially flexed, the lateral epicondyle is visible. When the elbow joint is fully extended, the lateral epicondyle can be palpated but not seen deep to a depression on the posterolateral aspect of the elbow.

09/04/2024

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22/02/2024

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11/02/2024

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