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Palpation of the thoracic spine

Authoring team

Tenderness is elicited by percussion of the spinous processes of the thoracic spine, with the patient leaning forward.

Midline tenderness at the thoracolumbar border is commonly caused by collapse of the T12 or L1 vertebrae:

  • in the elderly this is usually caused by minimal trauma to an osteoporotic vertebra
  • in a young patient more force is required e.g. a fall from scaffolding

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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