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When you palpate a bony landmark, it will feel harder than the soft tissue around it. For example, feel the point of your shoulder (acromion process of the scapula). Now move more medially (toward the center of your body) to the space between your shoulder and neck. If you feel the front of your body in this area, you will feel the clavicle (collarbone). If you feel the back of the area, you will be on your trapezius muscle, and perhaps supraspinatus and levator scapula. Notice how much softer the muscle areas feel than the bony landmarks.

Generally, a bony landmark is a specific place on a particular bone. To use the example above - the acromion process of the scapula - it is the most lateral and superior aspect of the scapula, not just any old place on the scapula.

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Q: What is the difference between palpating a bony landmark and a muscle?
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