Anterior Landmarks
● Identify the iliac crest at the upper margin of the pelvis at the level of L4.
● Follow the downward anterior curve and locate the iliac tubercle, marking the widest point of the crest, and continue tracking downward to the anterior–superior iliac spine.
● Place your thumbs on the anterior–superior spines and move your fingers downward and laterally from the iliac tubercles to the greater trochanter of the femur.
● Then move your thumbs medially and obliquely to the pubic tubercle, which lies at the same level as the greater trochanter.
Posterior Landmarks
● Palpate the posterior–superior iliac spine directly underneath the visible dimples just above the buttocks.
● Placing your left thumb and index finger over the posterior superior iliac spine, next locate the greater trochanter laterally with your fingers at the level of the gluteal fold, and place your thumb medially on the ischial tuberosity. The sacroiliac joint is not always palpable but may be tender. Note that an imaginary line along the posterior–superior iliac spines crosses the joint at S2.
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