Piper Steven, Degraauw Christopher
Sports Sciences Year 1 Resident, Division of Graduate Studies, Canadian Memorial Chiropractic College.
J Can Chiropr Assoc. 2012 Dec;56(4):283-91.
To detail the presentation of a male adolescent competitive high-level soccer player with left sided low back pain that occurred while playing soccer. This case will outline the importance of early detection, risk of progression and management of active spondylolysis in adolescent athletes.
The patient initially presented to a chiropractic sport specialist with left sided low back pain (9/10 on numeric pain scale rating) while kicking soccer balls with his left leg of one month duration. He was initially diagnosed with mechanical low back pain and successfully treated for acute pain management including removal from sport specific training and competition, soft tissue therapy and advice to rest. The chief complaint returned however, when the athlete resumed training and competition. A plain film imaging report suggested only postural alterations in an otherwise normal study of the lumbar spine. Computed tomography images taken three months later revealed a fracture at the left L5 pars interarticularis.
The early detection of spondylolysis combined with an effective plan of management including rest and conservative therapy with a progressive return to play may allow competitive athletes to resume participation at an elite level.
详细介绍一名男性青少年高水平足球运动员在踢足球时出现左侧下背部疼痛的情况。本病例将概述青少年运动员中早期发现、病情进展风险以及活动性椎弓根峡部裂管理的重要性。
患者最初因左腿踢足球一个月后出现左侧下背部疼痛（数字疼痛量表评分为9/10）就诊于一名整脊运动专家。他最初被诊断为机械性下背部疼痛，并通过包括停止专项运动训练和比赛、软组织治疗以及休息建议在内的急性疼痛管理得到成功治疗。然而，当运动员恢复训练和比赛时，主要症状又复发了。一份平片影像报告显示，在其他方面正常的腰椎检查中仅有姿势改变。三个月后进行的计算机断层扫描图像显示左侧L5椎弓根峡部裂骨折。
早期发现椎弓根峡部裂并结合包括休息和保守治疗以及逐步恢复运动的有效管理计划，可能使竞技运动员能够在精英水平上恢复参赛。
