Diagnosis and treatment of spondylolysis in an adolescent athlete
Gespeichert in:
Deutscher übersetzter Titel: | Diagnose und Behandlung der Spondylolyse bei einem jugendlichen Sportler |
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Autor: | Toto, Blase; Shapiro, Ira |
Erschienen in: | Chiropractic sports medicine |
Veröffentlicht: | 9 (1995), 3, S. 100-105, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0889-6976 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199605107810 |
Quelle: | BISp |
TY - JOUR AU - Toto, Blase A2 - Toto, Blase A2 - Shapiro, Ira DB - BISp DP - BISp KW - Diagnostische Verfahren KW - Fallstudie KW - Jugendlicher KW - Kinder- und Jugendsport KW - Orthese KW - Orthopädie KW - Spondylolyse KW - Sportaktivität KW - Sportmedizin KW - Sportphysiotherapie KW - Sporttraumatologie LA - eng TI - Diagnosis and treatment of spondylolysis in an adolescent athlete TT - Diagnose und Behandlung der Spondylolyse bei einem jugendlichen Sportler PY - 1995 N2 - The objective of this article is to present a case of spondylolysis in an adolescent athlete and discuss the clinical manifestations and diagnostic protocol. An adolescent soccer player with unremitting lower back pain presented to a chiropractor's office for evaluation and treatment. He had successful chiropractic treatment in the past. After a series of unsuccessful chiropractic manipulative therapies, he was evaluated by an orthopedist. The orthopedist's diagnosis was lumbar sprain strain in the light of negative radiographs of the lumbar spine. He was eventually evaluated by a second and third orthopedist and underwent a series of diagnostic tests including magnetic resonance imaging, computed tomographic scanning, and single photon emission computed tomography (SPECT) imaging. SPECT imaging confirmed the presence of unilateral spondylolysis at L5. Treatment included bracing with a modified Boston brace, rest, and specific exercises. The condition responded extremely well. This is verified by the follow-up SPECT scan taken after 7 months, which revealed a significantly decreased uptake. This case is presented to show the importance of diagnostic procedures, specifically SPECT scans, to diagnose spondylolysis in adolescent athletes in the absence of positive radioraphic findings. It is also intended to make the chiropractor who treats these athletes aware of the use of bracing in the treatment of spondylolysis in adolescent athletes. Verf.-Referat SP - S. 100-105 SN - 0889-6976 JO - Chiropractic sports medicine IS - 3 VL - 9 M3 - Gedruckte Ressource ID - PU199605107810 ER -