Spinal Process Apophysitis Mimics Spondylolysis

Mannor, Dana A.; Lindenfeld, Thomas N.

doi:10.1177/03635465000280022001

Cited by 16 publications

(16 citation statements)

References 35 publications

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“…13,14 Lumbar apophyseal avulsion injury is exceedingly rare in the literature. The current report, the authors' previously reported case, 7 and the 2 cases reported by Mannor and Lindenfeld 6 are the only 4 in the English literature. Previously reported spinous process apophyseal injury cases have occurred in the thoracic spine.…”

Section: Differential Diagnosissupporting

confidence: 50%

Understanding Acute Apophyseal Spinous Process Avulsion Injuries

Koehler¹,

Rosario-Quinones²,

Mayer³

et al. 2014

Orthopedics

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Apophyseal spinous process avulsion injury was first described in 1941. Since then, there have been sparse additional reports in the literature. The authors report their second case, involving an elite adolescent tennis player. The patient underwent surgical excision of the avulsed spinous process 12 weeks after initial presentation and experienced complete resolution of back pain. The authors provide the first reported histopathological analysis of the avulsion fracture site in the literature for both of their cases. The avulsion injury of the interspinous ligament was characterized by hypercellular fibrocartilage tissue, similar to that seen in severe Osgood-Schlatter's disease. The key physical examination finding in patients with avulsion spinous process fractures is acute tenderness directly over the fracture site that worsens with flexion rather than extension (unlike in spondylolysis). Patients should have routine radiographs, including dynamic flexion-extension views, magnetic resonance imaging, and computed tomography. The authors conclude that after 6 months of nonsurgical management for an athlete, surgical excision should be offered as an alternative. In both of their cases, nonsurgical management failed. Surgical excision offers definitive and simple treatment, as well as early return to athletic activities. Both patients were allowed to return to their competitive level of performance 6 weeks after surgery.

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Section: Differential Diagnosissupporting

confidence: 50%

Understanding Acute Apophyseal Spinous Process Avulsion Injuries

Koehler¹,

Rosario-Quinones²,

Mayer³

et al. 2014

Orthopedics

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“…Spinous process epiphysitis (SPE) 46 may mimic the symptoms of spondylolysis. It is usually nonprogressive and self-limiting, and it is often seen in female gymnasts.…”

Section: Skeletally Immature Spinementioning

confidence: 99%

Peri-epiphyseal and Overuse Injuries in Adolescent Athletes

Frush

Lindenfeld

2009

Sports Health: A Multidisciplinary Approach

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Context:Overuse injuries of the musculoskeletal system in immature athletes are commonly seen in medical practice.Evidence Acquisition:An analysis of published clinical, outcome, and biomechanical studies of adolescent epiphyseal and overuse injuries was performed through 2008 to increase recognition and provide treatment recommendations.Results:Adolescent athletes can sustain physeal and bony stress injuries. Recovery and return to play occur more swiftly if such injuries are diagnosed early and immobilized until the patient is pain-free, typically about 4 weeks for apophyseal and epiphyseal overuse injuries. Certain epiphyseal injuries have prolonged symptoms with delayed treatment, including those involving the bones in the hand, elbow, and foot. If such injuries are missed, prolonged healing and significant restrictions in athletic pursuits may occur.Conclusion:Some of these injuries are common to all weightbearing sports and are therefore widely recognized. Several are common in gymnastics but are rarely seen in other athletes. Early recognition and treatment of these conditions lead to quicker recovery and so may prevent season-ending, even career-ending, events from occurring.

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“…• une fracture des deux pédicules chez une ballerine [92] et chez une athlète [93] ; • une fracture d'une apophyse transverse chez un patineur sur glace [18] ; • deux cas d'apophysite de l'épineuse chez des gymnastes adolescentes [94].…”

Section: Sportifunclassified

Le sport parmi les facteurs de risque de la lombalgie

Goff

2007

Revue du Rhumatisme

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Spinal Process Apophysitis Mimics Spondylolysis

Cited by 16 publications

References 35 publications

Understanding Acute Apophyseal Spinous Process Avulsion Injuries

Understanding Acute Apophyseal Spinous Process Avulsion Injuries

Peri-epiphyseal and Overuse Injuries in Adolescent Athletes

Le sport parmi les facteurs de risque de la lombalgie

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