Maselli Filippo, Rossettini Giacomo, Viceconti Antonello, Testa Marco
DINOGMI - Universita degli Studi di Genova Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili, Genova, Italy.
Istituto Nazionale Assicurazione contro gli Infortuni sul Lavoro, Direzione Regionale Puglia INAIL, Bari, Italy.
BMJ Case Rep. 2019 Aug 30;12(8):e229987. doi: 10.1136/bcr-2019-229987.
Running is one of the most popular sports worldwide. Studies suggest that 11%-85% of recreational runners have at least one running-related injury (RRI) each year, resulting in a reduction or interruption in training. A high risk for running-related injuries (RRIs) represents an important inconvenience counterbalancing the beneficial effects of running. RRIs primarily affect the joints of the lower limb and lumbar spine. Noteworthy, in some cases, the clinical presentation of signs and symptoms is confusing and may hide serious conditions; thus, clinicians have to pay special attention when potential factors arise, such as the presence of red flags. As reported in this case report, patients can present with low back pain (LBP) as a primary problem, mimicking a red flag such as a fracture of the spine. The aim of this case report was to describe a case of a recreational runner presenting with LBP as the sole symptom of an underlying thoracolumbar fracture.
跑步是全球最受欢迎的运动之一。研究表明，每年有11% - 85%的业余跑步者至少遭受一次与跑步相关的损伤（RRI），导致训练减少或中断。与跑步相关的损伤（RRI）风险较高，这是一个重要的不利因素，抵消了跑步的有益效果。RRI主要影响下肢关节和腰椎。值得注意的是，在某些情况下，体征和症状的临床表现令人困惑，可能掩盖严重病情；因此，当出现潜在因素（如警示信号）时，临床医生必须特别注意。如本病例报告所述，患者可能以腰痛（LBP）为主要问题，类似于脊柱骨折等警示信号。本病例报告的目的是描述一例以LBP作为潜在胸腰椎骨折唯一症状的业余跑步者病例。
