ID 109604
Author
Miyagi, Ryo Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Sairyo, Koichi Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School|Department of Orthopedics, Teikyo University Mizonokuchi Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Sakai, Toshinori Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tezuka, Fumitake Department of Orthopedics, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory
Kitagawa, Yasuhiro Department of Orthopedics, Teikyo University Mizonokuchi Hospital
Dezawa, Akira Department of Orthopedics, Teikyo University Mizonokuchi Hospital
Keywords
Immature spine
Apophyseal ring fracture
Tight hamstrings
Conservative treatment
Content Type
Journal Article
Description
Apophyseal ring fracture is a unique disease in children and adolescents. Its clinical features include low back pain, sciatica, paravertebral muscle spasm and tenderness, restricted back motion, neurological symptoms, and tight hamstrings. For all athletes, body flexibility is one of the most important factors for better performance. Therefore, persistent tight hamstrings has a negative influence on athletic performance. In this report, we present two adolescent athletes with apophyseal ring fracture treated successfully by conservative treatment for severe low back pain (LBP) and leg pain, despite having persistent tight hamstrings for more than one year. Unlike herniated nucleus pulposus, bony fragments in the spinal canal never disappear. Although conservative treatment can alleviate LBP and leg pain, surgical removal of fragments is considered when symptoms such as tight hamstrings and restricted lumbar motion due to canal stenosis are found, particularly in athletes.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
61
Issue
3-4
Start Page
446
End Page
451
Sort Key
446
Published Date
2014-08
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences