Clinical Presentation & Protocol
Patient Usually Complains Of
Presentation of altered bone metabolism, congenital deformity, or apophysitis. Pain related to growth spurts or repetitive load in an immature skeleton.
Clinical Examination Findings
Physical examination reveals a [right/left] thoracic prominence on forward bend test. Shoulder asymmetry noted with [elevation/depression] on the [right/left] side. Pelvic tilt is [neutral/tilted]. Gait is non-antalgic. Neurological exam is intact with no focal deficits, normal reflexes, and negative abdominal reflexes.
Treatment Protocol
1. Activity modification / Rest. 2. Vitamin D/Calcium profiling if metabolic. 3. Serial casting or bracing. 4. Pediatric Ortho monitoring.