Concordance between Symptoms Reported By Patients and Signs Elicited By Orthopedic Surgeons

Afzal Hussain¹, Saleem Bashir² and N Rehan³*

Received: December 20, 2017;   Published: January 09, 2018

DOI: 10.26717/BJSTR.2018.02.000644

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Abstract

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

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