Teenage Weightlifter with Back Pain and a Fractured Vertebral End Plate

Back pain in teenagers is very common, but back pain in teenagers associated with radicular symptoms is much less common. Lifting, twisting, and falls may place abnormal stress on the spine. In children and adolescents, the ring apophysis along the poster

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Back Pain in the Young Child and Adolescent

Richard M. Schwend  •  William L. Hennrikus Editors

Back Pain in the Young Child and Adolescent A Case-Based Guide

Editors Richard M. Schwend Department of Orthopaedic Surgery Children’s Mercy Hospital Kansas City, MO USA

William L. Hennrikus Department of Orthopaedics Penn State College of Medicine Hershey, PA USA

ISBN 978-3-030-50757-2    ISBN 978-3-030-50758-9 (eBook) https://doi.org/10.1007/978-3-030-50758-9 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

“You can observe a lot by just watching.” Yogi Berra We dedicate this book to our wives and families, for whose support we are forever grateful.

Preface

Musculoskeletal conditions are a frequent cause of disability and discomfort for children. Back pain is a common complaint presenting to the primary care physician’s office, the emergency room, or urgent care and can be a source of great anxiety for the child, parents, and clinician. Many primary care physicians have not received specific education and training on the appropriate workup and referral for pediatric back pain. This book is designed to fill this “gap” in musculoskeletal education. Multiple physicians who are in the trenches caring for children with back pain have contributed to this text. We designed the book with case-based chapters written in a standardized format to help the reader navigate through the many diagnoses that can present with back pain. The authors have included clinical cases from their practices, common presenting symptoms, physical exam findings, tips on the work up, when to refer, multiple illustrations, and red flags to keep the clinician out of trouble.