JBJS case connector · 2021
Inferior Articular Process Fracture in a Collegiate Athlete Causing Back Pain: A Case Report of Surgical Treatment.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Dowdell James, Cong Guang-Ting, Verma Ravi, Gang Catherine Himo, Bauer Thomas W, Qureshi Sheeraz A
Аннотация
CASE: A 20-year-old male athlete presented with 8 months of low back pain. Conservative management had been unsuccessful. He noted lumbar spine pain with extension, and imaging showed features of an L4-5 inferior articular facet tip fracture. The fragment was excised, he returned to college lacrosse and is without symptoms at the 9-month follow-up.
CONCLUSION: In similar cases with facet fragments, we would recommend a full workup and attempt nonoperative therapy. If not improved and a diagnostic injection provides near-complete relief, then resection of the facet fragment can be discussed as a potentially effective and conservative surgical option.
CONCLUSION: In similar cases with facet fragments, we would recommend a full workup and attempt nonoperative therapy. If not improved and a diagnostic injection provides near-complete relief, then resection of the facet fragment can be discussed as a potentially effective and conservative surgical option.