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Case #1

김○○ (M/15) 32134056

CC> Deformity of spine (detect : 2YA)
BHx>
2YA : thoracic scoliosis detect & progression
thoracic hump
P/E>
Slender
Micrognathia(+)
Rt. thoracic hump : 5 cm, rotation angle : 22。
Plumb line (from C7) : +4.2 cm Rt
(from occipital protuberance) : 2.5 cm Rt
Shoulder height : +2 cm Rt
Tanner stage : IV
Palm in thumb(+)
Joint laxity(+)
Motor/sensory/reflex : intact
X-ray>
Cobb's angle : T2-75-T11-37-L4
Rt. thoracic curve(+)
Compensatory curve(-)
Flexibility(+)
Pelvic height difference : +3 cm Rt
Risser's stage 5
Imp> Scoliosis
Op> Deformity correction by posterior fusion

Case #2

홍○○ (M/59) 32197925

CC> Neck pain & stiffness (onset : 8DA)
BHx>
#1 10~20YA : morning stiffness develop
#2 2YA : neck stiffness & LOM when extension
#3 8DA : 의자에서 뒤로 넘어짐 -> severe neck pain
#4 Local : C6 Fx -> SNUH OS for Op
P/E>
Tenderness(+)
Radiating pain to B shoulder : (+->-)
Neck ROM : limitation d/t pain
Kyphosis(+)
Compression test(+)
Motor/sensory/circulation : intact
X-ray>
Syndesmophyte(+)
Squaring(+)
Imp> C6 Fx / Ankylosing spondylitis
Op> Ant. fusion