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Palpation of the spinous processes can reveal point tenderness with which condition?

1. Scoliosis
2. Sacroiliitis
3. Vertebral fracture due to osteoporosis
4. Herpes zoster
5. Degenerative disc disease

Answer :

3) Vertebral fracture due to osteoporosis. Palpation reveals point tenderness due to compromised vertebrae from weakened bones. Osteoporosis weakens bones making them more susceptible to fractures.

When a vertebral fracture occurs due to osteoporosis, the integrity of the vertebrae is compromised, leading to pain and tenderness. Osteoporosis weakens the bones, making them more susceptible to fractures, and palpating the spinous processes can often reveal point tenderness in the affected area.

The spinous process is the bony projection off the posterior (back) of each vertebra. When a vertebra is fractured, especially due to osteoporosis, the surrounding tissues become inflamed and painful. Palpation, or gentle pressure, on the spinous processes can help identify this localized tenderness, distinguishing it from other conditions like scoliosis or degenerative disc disease, which generally don't produce point tenderness on palpation of the spinous processes.

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