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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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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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. |
format | Article |
id | doaj-art-16811f86b3ef45e7a29378c2f4a47555 |
institution | Kabale University |
issn | 2090-6803 2090-6811 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
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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