Cargando…
Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent
We present a case of a 15-year-old male with history of back pain and bilateral lower limb radiculopathy due to fall. The magnetic resonance imaging scan showed disc bulge at L2-L3 level causing compression on contained nerve roots. In this case, computed tomography scan was indispensable for diagno...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5417619/ https://www.ncbi.nlm.nih.gov/pubmed/28491203 http://dx.doi.org/10.1016/j.radcr.2016.11.026 |
_version_ | 1783233919835963392 |
---|---|
author | Kadam, Geetanjalee Narsinghpura, Kaustubh Deshmukh, Sonali Desai, Sanjay |
author_facet | Kadam, Geetanjalee Narsinghpura, Kaustubh Deshmukh, Sonali Desai, Sanjay |
author_sort | Kadam, Geetanjalee |
collection | PubMed |
description | We present a case of a 15-year-old male with history of back pain and bilateral lower limb radiculopathy due to fall. The magnetic resonance imaging scan showed disc bulge at L2-L3 level causing compression on contained nerve roots. In this case, computed tomography scan was indispensable for diagnosis and classification of the vertebral apophyseal fracture and to guide appropriate further management. Apophyseal ring fracture is an uncommon cause of back pain with radiculopathy in adolescents and athletes. High degree of suspicion is necessary to differentiate these injuries from disc herniation so as to further guide appropriate conservative or surgical management. The common cause of back pain in this population is related to musculoskeletal injuries. Lumbar disc herniation contributes to negligible number of cases in this age group, as against that seen in the adult population. An important and rare etiology to be considered for these patients includes vertebral ring apophyseal fracture. |
format | Online Article Text |
id | pubmed-5417619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-54176192017-05-10 Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent Kadam, Geetanjalee Narsinghpura, Kaustubh Deshmukh, Sonali Desai, Sanjay Radiol Case Rep Case Report We present a case of a 15-year-old male with history of back pain and bilateral lower limb radiculopathy due to fall. The magnetic resonance imaging scan showed disc bulge at L2-L3 level causing compression on contained nerve roots. In this case, computed tomography scan was indispensable for diagnosis and classification of the vertebral apophyseal fracture and to guide appropriate further management. Apophyseal ring fracture is an uncommon cause of back pain with radiculopathy in adolescents and athletes. High degree of suspicion is necessary to differentiate these injuries from disc herniation so as to further guide appropriate conservative or surgical management. The common cause of back pain in this population is related to musculoskeletal injuries. Lumbar disc herniation contributes to negligible number of cases in this age group, as against that seen in the adult population. An important and rare etiology to be considered for these patients includes vertebral ring apophyseal fracture. Elsevier 2017-02-04 /pmc/articles/PMC5417619/ /pubmed/28491203 http://dx.doi.org/10.1016/j.radcr.2016.11.026 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Kadam, Geetanjalee Narsinghpura, Kaustubh Deshmukh, Sonali Desai, Sanjay Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
title | Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
title_full | Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
title_fullStr | Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
title_full_unstemmed | Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
title_short | Traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
title_sort | traumatic lumbar vertebral ring apophysis fracture with disk herniation in an adolescent |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5417619/ https://www.ncbi.nlm.nih.gov/pubmed/28491203 http://dx.doi.org/10.1016/j.radcr.2016.11.026 |
work_keys_str_mv | AT kadamgeetanjalee traumaticlumbarvertebralringapophysisfracturewithdiskherniationinanadolescent AT narsinghpurakaustubh traumaticlumbarvertebralringapophysisfracturewithdiskherniationinanadolescent AT deshmukhsonali traumaticlumbarvertebralringapophysisfracturewithdiskherniationinanadolescent AT desaisanjay traumaticlumbarvertebralringapophysisfracturewithdiskherniationinanadolescent |