THORACIC structural scoliosis Flashcards
1
Q
SCOLIOSIS classic presentation
A
- female adolescent comes in with rib humping that is accentuated on Adam’s test
2
Q
similar DDX’s
A
- Scheurmann’s disease
- functional scoliosis
- Syringomyelia
3
Q
supporting factors
A
- family history
- female
- rapid growth spurts during adolescence
- 10-16 yrs onset
- dull and achy pain
- change in shoulder height
decrease in kyphosis - lateral curvature of spine
4
Q
refuting factors
A
- neurological symptoms (abnormal myotomes/dermatimes/MSRs
- less than 10 degree curvature
- new onset in skeletally mature patient
5
Q
relevant orthos
A
- adams test
- chest expansion
6
Q
referrals
A
- x-rays to evaluate cobb’s angle
- if left convexity refer to MRI immediately
7
Q
contraindications
A
- never touch - adjust the apex of curve
- always contact the high side of the wedge
- if they have rod - DO NOT ADJUST
8
Q
technique
A
- gentle around curve
9
Q
care plan
A
- 2 x a week for 4 weeks
10
Q
recommendations
A
- Risser’s sign every 3rd month to look for progression
11
Q
prognosis
A
10-25 degrees = observation
20-45 degrees = bracing
45+ degrees = operative candidate
