一名业余橄榄球运动员的骶骨应力性骨折：病例报告

Sacral stress fracture in an amateur rugby player: a case report.

作者信息

Takahashi Yasuhiro, Kobayashi Takashi, Miyakoshi Naohisa, Abe Eiji, Abe Toshiki, Kikuchi Kazuma, Shimada Yoichi

机构信息

Department of Orthopedic Surgery, Akita Kousei Medical Center, 1-1-1 Iijima-Nishifukuro, Akita, 011-0948, Japan.

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.

出版信息

J Med Case Rep. 2016 Nov 16;10(1):327. doi: 10.1186/s13256-016-1120-3.

DOI:10.1186/s13256-016-1120-3

PMID:27852318

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5112619/

Abstract

BACKGROUND

Sacral stress fracture is an uncommon cause of back pain. The majority of previously reported cases have been in runners. The purpose of this case report was to describe a case of sacral stress fracture in an amateur rugby player.

CASE PRESENTATION

A healthy 18-year-old Japanese boy who was a rugby player presented with a 3-week history of lumbago. Sagittal and axial magnetic resonance imaging failed to reveal any reason for lumbago in his lumbar region. On his second presentation, 4 weeks later, his lumbago was so severe that he could not walk without a cane. A second magnetic resonance imaging revealed bone marrow edema with T1-weighted hypointensity and short inversion time inversion recovery hyperintensity at his left sacrum in coronal sections, consistent with stress fracture. Pain was relieved with rest and 1 year later he was able to return to rugby without lumbago or left buttock pain.

CONCLUSIONS

Sacral stress fracture can cause low back pain in athletes. Coronal magnetic resonance imaging appears to be an effective option for diagnosis.

摘要

背景

骶骨应力性骨折是背痛的一种罕见原因。先前报道的大多数病例发生在跑步者身上。本病例报告的目的是描述一名业余橄榄球运动员的骶骨应力性骨折病例。

病例介绍

一名健康的18岁日本橄榄球运动员男孩出现了3周的腰痛病史。矢状位和轴位磁共振成像未能揭示其腰椎区域腰痛的任何原因。4周后他第二次就诊时，腰痛非常严重，以至于没有拐杖就无法行走。第二次磁共振成像显示，在冠状位切片中，其左骶骨处有骨髓水肿，T1加权像呈低信号，短反转时间反转恢复序列呈高信号，符合应力性骨折表现。通过休息疼痛得到缓解，1年后他能够重返橄榄球运动，且没有腰痛或左臀部疼痛。