1.A 26-year-old male ice hockey player comes to you complaining of back pain that is referred around the chest. He explains that he was “boarded” (hit between another player and the boards). He did not notice the pain and stiffness until the next day. He has had the problem for 2 weeks. Describe your assessment plan for this patient (rib hypomobility versus ligament sprain).
2.A 38-year-old woman comes to your clinic complaining of chest pain with tenderness at the costochondral junction of two ribs on the left side. Describe your assessment plan for this individual patient (Tietze syndrome versus rib hypomobility).