State-of-the-art management of low back pain in athletes: Instructional lecture
State-of-the-art management of low back pain in athletes: Instructional lecture
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DOI：
10.1016/j.jos.2015.12.021
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发表时间：
2016-05-01
影响因子：
1.7
通讯作者：
Nagamachi, Akihiro
中科院分区：
文献类型：
--
作者：
Sairyo, Koichi;Nagamachi, Akihiro
在本文中，我们描述了“国家的艺术”的诊断和治疗运动员腰痛。腰椎运动引起的特定疼痛将是准确诊断的线索。在前屈疼痛组中，腰椎髓核突出是最常见的疾病。椎间盘源性疼痛和1型Modic终板炎症也可能引起屈曲疼痛;然而，诊断有时很困难。在儿童和青少年中，骨骺环骨折很常见。在伸展性疼痛组中，腰椎峡部裂非常常见，尤其是在儿科运动员中。在成年人中，由于过载引起的小关节疼痛是病理学原因，而躯干旋转引起的腰痛并不常见。然而，投掷运动员，如投手和链球运动员，可能会经历这种疼痛;投掷臂对侧的小关节炎可能是疼痛的起源。腰椎侧弯引起的腰痛很少见，但我们在高尔夫球手中遇到过一些病例，其中外侧角的1型Modic改变是疼痛的来源。在这篇文章中，我们解释了最先进的诊断和微创治疗策略。(C)2016年日本骨科协会。Elsevier B. V.出版，保留所有权利。
In this paper, we describe "state of the art" on the diagnosis and treatment for low back pain in athletes. Lumbar motion that induces specific pain would be a clue to the exact diagnosis. In the flexion pain group, lumbar herniated nucleus pulposus is the most common disorder. Discogenic pain and type 1 Modic endplate inflammation may also cause flexion pain; however, the diagnosis is sometimes difficult. In children and adolescents, apophyseal ring fracture is prevalent. In the extension pain group, lumbar spondylolysis is very common, especially in pediatric athletes. In adults, facet pain due to overloading would be the pathology, while low back pain with trunk rotation is not common. However, throwing athletes, such as pitchers and hammer throwers, may experience this kind of pain; facet arthritis contralateral to the throwing arm would be the origin of the pain. Low back pain on lumbar lateral bending is rare, but we experienced some cases in golfers in whom type 1 Modic change at the lateral corner was the source of pain. In this article, we explained strategies for state-of-the-art diagnosis and minimally invasive treatment. (C) 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.