A Pain in the Buttock

Spondylolysis, a fracture of the pars interarticularis, is a common source back pain in children and adolescents. While the incidence is significantly higher in Asian and Inuit populations, it is never seen in nonambulatory children and is most commonly associated with athletic activities that invol...

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Main Authors: Zachary C. Landman, Shannon Beres, Michael D. Cabana
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2011/414693
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author Zachary C. Landman
Shannon Beres
Michael D. Cabana
author_facet Zachary C. Landman
Shannon Beres
Michael D. Cabana
author_sort Zachary C. Landman
collection DOAJ
description Spondylolysis, a fracture of the pars interarticularis, is a common source back pain in children and adolescents. While the incidence is significantly higher in Asian and Inuit populations, it is never seen in nonambulatory children and is most commonly associated with athletic activities that involve extension or rotational deformity about the spine suggesting a functional component. Given that the associated pain is typically insidious in onset, lacks preceding trauma, and is accompanied by muscular spasm, prompt diagnosis requires a high index of suspicion, familiarity with provocative testing, and knowledge of the appropriate radiographic evaluation. Treatment requires cessation of athletic activity, bracing, and rest for a minimum of four to six weeks, or until symptomatic and radiographic resolution.
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institution Kabale University
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series Case Reports in Pediatrics
spelling doaj-art-16811f86b3ef45e7a29378c2f4a475552025-02-03T06:07:02ZengWileyCase Reports in Pediatrics2090-68032090-68112011-01-01201110.1155/2011/414693414693A Pain in the ButtockZachary C. Landman0Shannon Beres1Michael D. Cabana2Department of Pediatrics, University of California, San Francisco, CA 94117, USADepartment of Pediatrics, University of California, San Francisco, CA 94117, USADepartment of Pediatrics, University of California, San Francisco, CA 94117, USASpondylolysis, a fracture of the pars interarticularis, is a common source back pain in children and adolescents. While the incidence is significantly higher in Asian and Inuit populations, it is never seen in nonambulatory children and is most commonly associated with athletic activities that involve extension or rotational deformity about the spine suggesting a functional component. Given that the associated pain is typically insidious in onset, lacks preceding trauma, and is accompanied by muscular spasm, prompt diagnosis requires a high index of suspicion, familiarity with provocative testing, and knowledge of the appropriate radiographic evaluation. Treatment requires cessation of athletic activity, bracing, and rest for a minimum of four to six weeks, or until symptomatic and radiographic resolution.http://dx.doi.org/10.1155/2011/414693
spellingShingle Zachary C. Landman
Shannon Beres
Michael D. Cabana
A Pain in the Buttock
Case Reports in Pediatrics
title A Pain in the Buttock
title_full A Pain in the Buttock
title_fullStr A Pain in the Buttock
title_full_unstemmed A Pain in the Buttock
title_short A Pain in the Buttock
title_sort pain in the buttock
url http://dx.doi.org/10.1155/2011/414693
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