Lumbar facet fracture in an adolescent ice hockey player.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20086686.
- Also identified by DOI 10.3810/psm.1999.11.1109.
- No licence information is recorded for this record.
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Abstract
A 14-year-old boy was checked hard as he was winding up to shoot in an ice hockey game. He experienced low-back pain during the game but when examined later for complaints of pain and fever, he denied trauma. Plain x-rays were normal, but a bone scan showed increased uptake at L-3. MRI evaluation revealed a lumbar mass; a CT scan showed the mass to be a hematoma and edema secondary to a facet fracture. Acute severe back pain in a hockey player should prompt a careful history and a search for musculoskeletal injury. When trauma in the lumbar spine is suspected and plain radiographs are nondiagnostic, CT scans are more precise than MRI for diagnosing injury.
Anatomy
- lumbar spine