Kyphosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The kyphotic deformity may be visible on basic inspection, or in the case of less obvious deformities, may require Adam’s forward bending test. Observing the patient from behind while they slowly bend forward will reveal assymetry.

Physical Examination

Palpation: The spine is felt for any tenderness or stiffness.
Adam’s forward bending test: The goal of the test is to show abnormal appearance. During the procedure, the examiner stands behind the patient and ask him/her to bend forward. Patients with kyphosis may appear to have a more angular, asymmetric curve.

Shown below are the findings on inspection of a 53 year old man with severe kyphosis.

Sources

Copyleft images obtained courtesy of Cafer Zorkun MD PhD.

References

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