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ID 114170
Title Alternative
Bony fragment of apophyseal ring fracture
Author
Sugimine, Yuto Tokushima University
Sakaeda, Kentaro Doai Memorial Hospital
Manabe, Hiroaki Tokushima University
Hayashi, Fumio Tokushima University
Ishihama, Yoshihiro Tokushima University
Tateishi, Tomohiko Doai Memorial Hospital
Keywords
High-level athlete
herniated nucleus pulposus
lumbar spine
apophyseal ring fracture
Content Type
Journal Article
Description
In this paper, we present 2 cases of herniated nucleus pulposus (HNP) combined with the residual bony fragment of apophyseal ring fracture. HNP typically exists at the narrow lateral recess formed by the bony fragment, and so it has been reported that symptoms may persist. Case 1 was a 22-year-old man, a high-level javelin thrower and Paralympic athlete. He had a history of persistent pain for 4 years due to HNP, and so we performed surgical removal. Case 2 was a 23-year-old male professional baseball player. He was referred to us only 17 days after the onset of pain and presented with muscle weakness, a feature which may prolong the clinical course in addition other features such as pain. Thus, we performed a comparatively quick intervention of surgical removal. In both cases, we had excellent clinical outcomes and better function and performance. In conclusion, in cases with HNP and apophyseal ring separation, surgical intervention in the comparatively early phase can be recommended, particularly if the patients desire quick return to their original level of activity.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA12022913
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
66
Issue
3-4
Start Page
358
End Page
361
Sort Key
358
Published Date
2019-08
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital