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Ms. Subaedah, age 28, presented with a crooked back that she has had since age 12. On examination, she had an obvious right shoulder elevation, prominent right scapula, and asymmetry when her arms hung at her sides. X-rays showed a double major right thoracic curve of 68 degrees and a right lumbar curve of 70 degrees based on the Lenke classification system. Bending views showed the lumbar curve corrected to 28 degrees when she bent to the left.
Ms. Subaedah, age 28, presented with a crooked back that she has had since age 12. On examination, she had an obvious right shoulder elevation, prominent right scapula, and asymmetry when her arms hung at her sides. X-rays showed a double major right thoracic curve of 68 degrees and a right lumbar curve of 70 degrees based on the Lenke classification system. Bending views showed the lumbar curve corrected to 28 degrees when she bent to the left.
Ms. Subaedah, age 28, presented with a crooked back that she has had since age 12. On examination, she had an obvious right shoulder elevation, prominent right scapula, and asymmetry when her arms hung at her sides. X-rays showed a double major right thoracic curve of 68 degrees and a right lumbar curve of 70 degrees based on the Lenke classification system. Bending views showed the lumbar curve corrected to 28 degrees when she bent to the left.
: Ms. Subaedah, Adolescence Idiopathic Scoliosis, Lenke 3C N
Age
: 28 years old
Chief complain : crooked back
Patient complaint deformity on the back since 12 years ago. No history of Back pain . No History of shortness of breath and no History of same illness in family Menarche at 13 years old
Look
Elevation of shoulder (-),
scapula Prominent (+) right side asymmetry arm to body (+), cutaneus sinus (-), hairy patches (-) , caf au lait (+), curve to the right side, pelvic obliquity (-)
Feel
Tenderness (-) Plumb line : 1 cm left from gluteal line Shoulder asymmetry : 2 cm Body arm distance 3 cm Adam forward bending -Rib Hump : 3,5 cm right Hyperlaxity : -
Adolescence Idiopathic Scoliosis, Lenke 3C N
Cobb Angle erect : thoracic 68, lumbal 70, Curve Correction : Right bend : thoracic 68, lumbal 70 Left bend : thoracic 68, lumbal 28