A young adolescent female is observed to have mild unequal scapula prominences on gross examination while standing. In the Adams forward bending position, this inequality disappears. What will the primary care pediatric nurse practitioner do?

Question

Quizplus · Accepted Answer

Unequal scapula prominences that disappear with Adams forward bending position are suggestive of functional scoliosis, which is typically due to poor posture and muscle imbalance. Radiographic studies and referral to an orthopedic specialist are not indicated at this point. The primary care pediatric nurse practitioner should discuss posture and exercise with the patient and ask about backpacks and books, as these may contribute to the muscle imbalance. Follow-up appointments can be used to monitor the patient's progress.

A Young Adolescent Female Is Observed to Have Mild Unequal