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ID 114170
タイトル別表記
Bony fragment of apophyseal ring fracture
著者
Sugimine, Yuto Tokushima University
Sakaeda, Kentaro Doai Memorial Hospital
眞鍋, 裕昭 Tokushima University
林, 二三男 Tokushima University
石濱, 嘉紘 Tokushima University
前田, 徹 Tokushima University
Tateishi, Tomohiko Doai Memorial Hospital
キーワード
High-level athlete
herniated nucleus pulposus
lumbar spine
apophyseal ring fracture
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA12022913
AA11166929
出版者
Tokushima University Faculty of Medicine
66
3-4
開始ページ
358
終了ページ
361
並び順
358
発行日
2019-08
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院