Comparison of symptomatic spondylolysis in young soccer and baseball players.
Baseball
Magnetic resonance imaging
Soccer
Spondylolysis
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
03 Sep 2020
03 Sep 2020
Historique:
received:
10
06
2020
accepted:
20
08
2020
entrez:
5
9
2020
pubmed:
5
9
2020
medline:
1
5
2021
Statut:
epublish
Résumé
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. 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. 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). 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.
Sections du résumé
BACKGROUND
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
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
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
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.
Identifiants
pubmed: 32883336
doi: 10.1186/s13018-020-01910-4
pii: 10.1186/s13018-020-01910-4
pmc: PMC7469272
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
378Références
Arch Orthop Trauma Surg. 2011 Nov;131(11):1485-9
pubmed: 21671077
Br J Sports Med. 2004 Dec;38(6):737-42
pubmed: 15562169
J Fam Pract. 1998 Aug;47(2):145-9
pubmed: 9722803
Sports Med Arthrosc Rev. 2011 Mar;19(1):7-16
pubmed: 21293233
Eur J Radiol. 2018 Nov;108:28-42
pubmed: 30396669
Am J Sports Med. 2013 Jan;41(1):169-76
pubmed: 23136176
Eur Spine J. 2018 May;27(5):1058-1066
pubmed: 28942567
Med Sport Sci. 2005;49:1-8
pubmed: 16247259
Am J Sports Med. 2005 Nov;33(11):1688-93
pubmed: 16093537
Clin J Sport Med. 2014 Nov;24(6):448-56
pubmed: 24662572
Scand J Med Sci Sports. 2017 Apr;27(4):448-454
pubmed: 26892028
Acta Radiol. 1989 Jul-Aug;30(4):359-64
pubmed: 2775596
J Spinal Disord. 1993 Oct;6(5):406-11
pubmed: 8274809
Med Sci Sports Exerc. 1996 Feb;28(2):165-70
pubmed: 8775149
Med Sci Sports Exerc. 2013 Oct;45(10):1971-4
pubmed: 23559123
Clin Radiol. 2010 Nov;65(11):902-7
pubmed: 20933645
Br Med Bull. 2011;97:47-80
pubmed: 20710023
Am J Sports Med. 1981 Sep-Oct;9(5):304-12
pubmed: 6269444
J Sports Med Phys Fitness. 1990 Dec;30(4):450-2
pubmed: 2079853
Clin Orthop Relat Res. 1976 Jun;(117):68-73
pubmed: 132328
Clin Rehabil. 2014 May;28(5):460-9
pubmed: 24249843
Am J Sports Med. 1997 Mar-Apr;25(2):248-53
pubmed: 9079183
J Pediatr Orthop. 2015 Apr-May;35(3):271-5
pubmed: 24978120
Clin J Sport Med. 2019 Sep;29(5):421-425
pubmed: 31460956
Arch Pediatr Adolesc Med. 1995 Jan;149(1):15-8
pubmed: 7827653
Br J Sports Med. 2006 Nov;40(11):940-6; discussion 946
pubmed: 16980534
Clin Orthop Relat Res. 2001 Sep;(390):151-62
pubmed: 11550861
Clin Orthop Relat Res. 1976 Jun;(117):40-55
pubmed: 1277685
Am J Sports Med. 2004 Apr-May;32(3):781-6
pubmed: 15090397
Knee Surg Sports Traumatol Arthrosc. 2011 Dec;19(12):2111-4
pubmed: 21541713
J Med Invest. 2019;66(3.4):252-257
pubmed: 31656284