W6 - CN Hip, Bumped Up Shoulder

Bumped Up Shoulder Purpose

• replaces inferosuperior shoulder

• done when pt is unable to abduct arm 

Positioning - Bumped Up Shoulder

• CP

• CR

• SID

• PT Position

• mid axilla → ACJ

• 15-20 → MSP

• 122cm

• same as inferosuperior; assist arm to be anterior, 90 degree bend and elevated 

Critique - Bumped Up Shoulder

• structures: GHJ, coracoid process

• BTP: open GHJ

CN Hip Purpose

• done when pt is unable to lift UA leg

• pt is contraindicated to int rotate affected leg and lift UA leg

Positioning - CN Hip

• CP

• CR

• SID

• PT Position

• Marker

• FN, CR should exit at GT

• 45 lateral to FN (to match FN) and 15 post (to compensate ext rot’n)

• 122cm

• pt supine on close to edge, IR matches CR and close to pt, filter for distal femur

• side marker + HB

How to locate FN

1. locate bisector line (ASIS → PS)

2. 2.5” distal to mid bisector line OR 1” medial to ASIS at level of GT

Critique - CN Hip

• structures: 1/3 femur, entire hip joint

• BTP:

  • GT and LT on the same transverse plane, FN seen true to shape

  • LT seen post, GT SI equally over neck, GT minimally SI FH