- VernacularTitle:脊椎の聴性打診により圧迫骨折が判断できた経験
- Author:
Eisuke IWAMOTO
1
Author Information
- Keywords: auscultatory percussion; low back pain; compression fracture; physical examination; closed-fist percussion sign
- From:Journal of the Japan Society of Acupuncture and Moxibustion 2020;70(1):67-74
- CountryJapan
- Language:Japanese
- Abstract: A vertebral compression fracture is a red flag for low back pain. The closed-fist percussion sign is a useful physical examination, but there is a possibility of misdiagnosis. A 58-year-old woman complaining of low back pain with suddenly developed pain at rest. Physical examination using x-rays and closed-fist percussion sign were negative, but auscultatory percussion was positive. As a result, vertebral compression fracture was diagnosed by magnetic resonance imaging (MRI). Auscultatory percussion is a method that can determine a vertebral compression fracture without causing pain, and is necessary to improve accuracy in the future.