Describe the assessment of an adolescent referred for evaluation for possible scoliosis

The patient should be examined with the back exposed (Fig. 7-1). First the patient is examined in the standing position. Then the patient is examined as he or she bends forward at the waist with the arms hanging freely, the knees straight, and the feet together. Findings that suggest the presence of scoliosis include:

• Shoulder height asymmetry

• Scapula or rib prominence

• Chest cage asymmetry

• Unequal space between the arm and the lateral trunk on side to side comparison

• Waist line asymmetry

• Asymmetry of the paraspinous musculature

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