Scoliosis physical examination: Difference between revisions
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Revision as of 15:34, 6 November 2012
Scoliosis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
Skin
- Skin for café au lait spots indicative of neurofibromatosis
- Spina bifida as evidenced by a dimple, hairy patch, lipoma, or hemangioma.
Extremities
- Uneven hip and shoulder levels
- Unequal distance between arms and body
- The feet for cavovarus deformity
Neurologic
- Slow nerve action (in some cases)
- Abdominal reflexes
- Muscle tone for spasticity
- The patient's gait is assessed
Others
- Asymmetric size or location of breast in females
- Uneven musculature on one side of the spine
- A rib "hump" and/or a prominent shoulder blade, caused by rotation of the ribcage in thoracic scoliosis
- During the exam, the patient is asked to bend forward (Adam's Bend Test). If a hump is noted, then scoliosis is a possibility and the patient should be sent for an x-ray to confirm the diagnosis.