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Palpation Practical Stations

At each station: locate landmark → palpate muscle → demonstrate confirming action → state action/nerve → name nearby caution.

1 · Upper trapezius

Landmarks: occiput, clavicle, acromion. Confirm with gentle scapular elevation. Nerve: CN XI motor. Avoid treating anterior/lateral neck as though it were all trapezius.

2 · Levator scapulae

Landmarks: superior angle/medial scapular border and upper cervical region. Confirm with scapular elevation/downward rotation pattern. Nerve: dorsal scapular + cervical.

3 · Supraspinatus

Locate scapular spine, move superiorly into supraspinous fossa. Gentle abduction can confirm. Nerve: suprascapular.

4 · Infraspinatus

Locate below scapular spine. Confirm with resisted gentle lateral rotation. Nerve: suprascapular.

5 · Deltoid

Acromion/lateral clavicle/scapular spine define proximal attachment. Confirm middle fibers with abduction. Nerve: axillary.

6 · Biceps brachii

Anterior arm. Confirm with elbow flexion + supination. Nerve: musculocutaneous. Protect cubital fossa distally.

7 · Brachialis

Deep to biceps, accessible distally on either side. Confirm elbow flexion with forearm pronated to reduce biceps advantage. Nerve primarily musculocutaneous.

8 · SCM

Confirm with gentle contralateral rotation. Nerve: CN XI motor. Palpate the muscle, not carotid structures. No deep indiscriminate anterior-neck pressure.

9 · Gluteus medius

Between iliac crest and greater trochanter on lateral hip. Confirm with gentle hip abduction. Nerve: superior gluteal.

10 · TFL

Find ASIS then move slightly lateral/inferior. Confirm hip flexion/abduction/medial rotation. Nerve: superior gluteal.

11 · Hamstrings

Locate ischial tuberosity region and posterior thigh; confirm with gentle knee flexion. Distinguish biceps femoris lateral from semitendinosus/semimembranosus medial. Protect popliteal fossa.

12 · Quadriceps

Identify rectus femoris centrally, vasti around it. Confirm knee extension. Nerve: femoral. Rectus femoris also crosses hip.

13 · Gastrocnemius

Superficial posterior calf with medial/lateral heads. Confirm plantarflexion with knee relatively extended. Nerve: tibial. Screen vascular red flags first.

14 · Soleus

Deep to gastrocnemius; bent-knee plantarflexion reduces gastrocnemius contribution. Nerve: tibial.

15 · Tibialis anterior

Immediately lateral to tibial crest. Confirm dorsiflexion/inversion. Nerve: deep fibular. Do not grind the tibial crest.

16 · Fibularis longus/brevis

Lateral leg. Confirm eversion. Nerve: superficial fibular. Protect common fibular nerve near fibular head.