Objectives: To explore concordance between symptoms and signs among orthopaedic patients.
Methodology: 100 consecutive patients complaining of pain in joints of neck, upper/middle back, lower back, shoulders, elbow, wrist,
hands, hips, knees, ankles and feet were included in the study. History taken by Medical Officer and a Psychologist was followed by physical
examination by an Orthopedic Surgeon.
Results: The mean age of 60 males and 40 females was 50.5±5.1 years; being 50.4±17.0 years among males and 50.6±11.8 years in females
(P = 0.94). The overall concordance between the pain spots reported by patients and tender points elicited by attending surgeon was 31.3%.
The patients with low back pain contributed 59.2 % of the total concordance. The combined concordance observed in neck, ribs, arms, wrists,
hands, hips, legs and feet was 16.6%.
Conclusion: In view of 31.3% concordance between the Symptoms and Signs, more importance should be given to findings of physical
examination than the symptoms.
Abbreviations: BSI: Brief Symptom Inventory; GAF: Global Assessment of Functioning; LPR: Laryngo Pharyngeal Reflux