Prevalence and clinical features of sports-related lumbosacral stress injuries in the young

@article{Kaneko2017PrevalenceAC,
  title={Prevalence and clinical features of sports-related lumbosacral stress injuries in the young},
  author={Hideto Kaneko and Mototsune Murakami and Kazuya Nishizawa},
  journal={Archives of Orthopaedic and Trauma Surgery},
  year={2017},
  volume={137},
  pages={685-691}
}
BackgroundStress injuries (stress fractures and stress reactions) of the lumbosacral region are one of the causes of sports-related lower back pain in young individuals. These injuries can be detected by bone marrow edema lesion on MRI. However, little is known about the prevalence and clinical features of early stage lumbosacral stress injuries. This study aimed to evaluate the epidemiology of lumbosacral stress injuries.MethodsA total of 312 patients (under 18 years of age) who complained of… 
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References

SHOWING 1-10 OF 24 REFERENCES
Fatigue stress fractures of the sacrum: diagnosis with MR imaging
TLDR
Fatigue sacral stress fractures were more common in women than in men and were associated with stress-related hip pain, and fatty marrow conversion was seen in 8 (40%) cases as high signal intensity on T1-weighted images, which disappeared 5–6 months after the onset of symptoms.
Lumbar spondylolysis: a review
TLDR
Magnetic resonance (MR) imaging should be used as the primary investigation for adolescents with back pain and suspected stress reactions of the lumbar pars interarticularis, and is the imaging modality of choice for identifying associated nerve root compression.
Causes of Radiculopathy in Young Athletes with Spondylolysis
TLDR
Extraosseous hematoma or edema at the site of spondylolysis is proposed as the unique pathomechanism causing radiculopathy in young athletes.
Stress Fractures of the Sacrum
TLDR
The clinical course was protracted, with an average 6.6 months of prolonged low back pain before resolution of symptoms, and sacral fatigue-type stress fractures did not preclude the athletes from returning to their previous level of participation once healing had occurred.
The management of sacral stress fractures: current concepts.
  • V. Longhino, C. Bonora, V. Sansone
  • Medicine
    Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
  • 2011
TLDR
The purpose of this review is to increase awareness of this condition so that clinicians may consider sacral stress fracture in the differential diagnosis of low-back and pelvic pain, particularly in elderly patients without a history of trauma.
Stress fractures: current concepts.
TLDR
In patients with suspected stress injury, radiographs should be obtained a second time, 1-2 weeks after the initial study, and biopsy should be avoided until evidence is clear-cut that the lesion has not changed over a short time.
Incidence and etiology of lumbar spondylolysis: review of the literature
TLDR
It was found that Japanese rugby and judo players were prone to suffer lumbar spondylolysis, but the incidence for Japanese professional soccer and baseball players was much higher, at 30%, which was more than five times the incidence in the general Japanese population.
Diagnosis of Radiographically Occult Lumbar Spondylolysis in Young Athletes by Magnetic Resonance Imaging
Background: The early stages of spondylolysis are extremely difficult to diagnose on plain radiography. Although several studies have examined changes in active spondylolysis on magnetic resonance
Fatigue fractures of the sacrum in children: two case reports and a review of the literature
TLDR
Fatigue fractures of the sacrum should be considered in the differential diagnosis of low back pain in children, and an awareness of their appearance on magnetic resonance imaging is important as this modality is increasingly utilised, particularly in children.
Stress Reactions of the Lumbar Pars Interarticularis: The Development of a New MRI Classification System
Study Design. In a retrospective study, multiple examiners reviewed lumbar magnetic resonance imaging scans to develop a new grading system for lumbar pars interarticularis stress reaction and
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