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Comparison of symptomatic spondylolysis in young soccer and baseball players.
- Source :
-
Journal of orthopaedic surgery and research [J Orthop Surg Res] 2020 Sep 03; Vol. 15 (1), pp. 378. Date of Electronic Publication: 2020 Sep 03. - Publication Year :
- 2020
-
Abstract
- Background: Spondylolysis is the main cause of low back pain (LBP) in young athletes. There are few studies analyzing the difference of spondylolysis among young athletes with different sports activities. The purpose of this study was to compare the clinical factors and distribution of the lesions of spondylolysis on magnetic resonance imaging (MRI) scans in young soccer and baseball players with symptomatic spondylolysis.<br />Methods: The medical records of 267 young athletes aged 7 to 18 years old who underwent MRI to evaluate the cause of LBP between 2017 and 2020 were retrospectively reviewed to identify patients with spondylolysis. Of the young athletes with symptomatic spondylolysis, clinical factors and MRI findings in soccer and baseball players were retrospectively evaluated. The clinical factors were age, sex, interval from onset of LBP to MRI, and side of the dominant leg in the sports field. MRI findings included number, lumbar level, and side of the lesions.<br />Results: A total of 33 soccer players (mean age, 15.4 ± 1.4 years) and 49 baseball players (mean age, 15.4 ± 1.6 years) with symptomatic spondylolysis were enrolled. All patients were male. No significant differences were noted in age and the interval from onset of LBP to MRI between the groups. Soccer players had greater numbers of multiple (p < 0.001) and bilateral (p < 0.001) lesions than baseball players. The dominant side of the hand for pitching or batting was correlated with the contralateral-side lesions in baseball players (p = 0.001).<br />Conclusions: The distribution of the lesions of spondylolysis differed in young soccer and baseball players. Pitching or batting with the dominant-side hand would be associated with contralateral-side lesions in baseball players. Sports-specific movements and the side of the dominant leg should be considered when treating young athletes with symptomatic spondylolysis.
- Subjects :
- Adolescent
Age Factors
Child
Female
Functional Laterality
Hand physiology
Humans
Leg diagnostic imaging
Leg physiology
Low Back Pain diagnostic imaging
Low Back Pain etiology
Lumbar Vertebrae diagnostic imaging
Magnetic Resonance Imaging
Male
Movement
Retrospective Studies
Spondylolysis physiopathology
Baseball
Soccer
Spondylolysis diagnostic imaging
Spondylolysis etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1749-799X
- Volume :
- 15
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic surgery and research
- Publication Type :
- Academic Journal
- Accession number :
- 32883336
- Full Text :
- https://doi.org/10.1186/s13018-020-01910-4