Standing or standing with one foot supported on a chair or sidelying with the top hip flexed.
If you wish to palpate on the skin, provide a private room for assessment. The patient is asked if he/she is willing to allow direct palpation on the skin, if needed, which might involve raising the bottom of the shorts or draping with a gown. While the skin can not be viewed with clothes covering the area, the ischial tuberosities usually can be palpated over clothing.
Posterior to the patient.
Possible trauma or damage to the pelvis or SITS bones (as they are sometimes called because you sit on them) can be evaluated more accurately if you raise your shorts or wear a gown (and demonstrate the level, which is the level of the ischial tuberosities). Would you feel comfortable doing this? If not, I can assess some things without moving your clothing and with pressure from my fingers. Please stand or stand and put one foot on the chair or lie on your side and bend your hip. May I place my fingers on your SIT bone? (You can use a skeleton if available).
Guide the patient to drape and be in the position you want. If given permission, place your fingers on
the patientÃs ischial tuberosity. Since part of the hamstrings attaches to this area, there may be
tenderness with a hamstring injury.
This area of the body is very sensitive related to modesty. Allow adequate time for explanation and to request permission to touch and then to drape.
This area of the body is very sensitive related to modesty. Allow adequate time for explanation and to request permission to touch and then to drape.
VH - Ischial tuberosities