Unrecognized scoliosis as the cause of chest pain: A case report

Abstract

In recent times, most children and adolescents with chest pain of non-cardiac origin are diagnosed with some form of musculoskeletal disorder. Scoliosis is a three-dimensional deformity of the spine and the most common musculoskeletal disease in children. Chest pain in individuals with scoliotic spinal deformities most likely comes from the subluxation of the ribs and the direct and intermittent pressure on the nerve passing under the rib, which is nociceptive in character; the triggers are usually a deep inhale or the performance of the Valsalva manoeuvre. This is a case report of a 15-year-old girl with a scoliotic spinal deformity and chest pain from the General Hospital "Dr Laza K. Lazarević" in Šabac