Comparison of symptomatic spondylolysis in young soccer and baseball players
- PDF / 619,831 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 63 Downloads / 241 Views
(2020) 15:378
RESEARCH ARTICLE
Open Access
Comparison of symptomatic spondylolysis in young soccer and baseball players Takuji Yokoe1* , Takuya Tajima1, Hiroshi Sugimura2, Shinichirou Kubo3, Shotarou Nozaki3, Nami Yamaguchi1, Yudai Morita1 and Etsuo Chosa1
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. 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. 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). 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. Keywords: Spondylolysis, Magnetic resonance imaging, Soccer, Baseball
Introduction Sporting activity is regarded as an important predisposing factor in the development of spinal pathologies, and certain sports (e.g., weightlifting, wrestling, soccer, baseball, tennis, gymnastics) are considered risk factors [1–4]. The incidence of low back pain (LBP) in young athletes has been reported in several articles [2–5], and spondylolysis * Correspondence: [email protected] 1 Division of Orthopaedic Surgery, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan Full list of author information is available at the end of the article
is a very common cause of LBP in young athletes [6]. One study reported that 47% of young athletes with LBP had spondylolysis [7]. Lumbar extensional and rotational move
Data Loading...
