Features of sacral alar fatigue fractures in adolescent athletes with overuse

Features of sacral alar fatigue fractures in adolescent athletes with overuse

Abstract Three types of sacral alar fatigue fractures are elderly, postnatal, and sport-related. They are most prevalent in athletes during adulthood; there are few reports of sacral alar fatigue fractures in young athletes. The purpose of this study was to analyze sacral alar fatigue fractures in a...

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Autores principales: Masaki Tatsumura, Fumihiko Eto, Katsuya Nagashima, Shun Okuwaki, Hisanori Gamada, Sho Iwabuchi, Takeshi Ogawa, Takeo Mammoto, Atsushi Hirano, Masashi Yamazaki
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/7ddcb231594e46c1adf6d2b90ab4d0c3
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spelling oai:doaj.org-article:7ddcb231594e46c1adf6d2b90ab4d0c32021-12-02T16:45:40ZFeatures of sacral alar fatigue fractures in adolescent athletes with overuse10.1038/s41598-021-87752-42045-2322https://doaj.org/article/7ddcb231594e46c1adf6d2b90ab4d0c32021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87752-4https://doaj.org/toc/2045-2322Abstract Three types of sacral alar fatigue fractures are elderly, postnatal, and sport-related. They are most prevalent in athletes during adulthood; there are few reports of sacral alar fatigue fractures in young athletes. The purpose of this study was to analyze sacral alar fatigue fractures in adolescent athletes. Of the 920 patients hospitalized with low back pain, 13 were diagnosed with sacral alar fatigue fractures with magnetic resonance imaging (MRI) abnormalities. We investigated age, sex, sports discipline, span from symptom onset to consultation, laterality, complication with spondylolysis, computed tomography (CT) findings, and treatment span. The average age was 14.5 years old (8-men and 5-women). The most frequent discipline was basketball. The span to consultation was 13.2 days. The number of right-side cases was 9. Seven cases were complicated by bilateral spondylolysis. MRI abnormalities were observed in all the cases. Only two patients showed abnormal findings on CT. Averagely 67 days after treatment, participants returned to their sports. Sacral alar fatigue fractures suggest that the span from onset to consultation is short. Fracture lines are often unclear on CT, and MRI is useful for diagnosis. More than half of the cases in this study were complicated by lumbar spondylolysis.Masaki TatsumuraFumihiko EtoKatsuya NagashimaShun OkuwakiHisanori GamadaSho IwabuchiTakeshi OgawaTakeo MammotoAtsushi HiranoMasashi YamazakiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Masaki Tatsumura
Fumihiko Eto
Katsuya Nagashima
Shun Okuwaki
Hisanori Gamada
Sho Iwabuchi
Takeshi Ogawa
Takeo Mammoto
Atsushi Hirano
Masashi Yamazaki
Features of sacral alar fatigue fractures in adolescent athletes with overuse
description Abstract Three types of sacral alar fatigue fractures are elderly, postnatal, and sport-related. They are most prevalent in athletes during adulthood; there are few reports of sacral alar fatigue fractures in young athletes. The purpose of this study was to analyze sacral alar fatigue fractures in adolescent athletes. Of the 920 patients hospitalized with low back pain, 13 were diagnosed with sacral alar fatigue fractures with magnetic resonance imaging (MRI) abnormalities. We investigated age, sex, sports discipline, span from symptom onset to consultation, laterality, complication with spondylolysis, computed tomography (CT) findings, and treatment span. The average age was 14.5 years old (8-men and 5-women). The most frequent discipline was basketball. The span to consultation was 13.2 days. The number of right-side cases was 9. Seven cases were complicated by bilateral spondylolysis. MRI abnormalities were observed in all the cases. Only two patients showed abnormal findings on CT. Averagely 67 days after treatment, participants returned to their sports. Sacral alar fatigue fractures suggest that the span from onset to consultation is short. Fracture lines are often unclear on CT, and MRI is useful for diagnosis. More than half of the cases in this study were complicated by lumbar spondylolysis.
format article
author Masaki Tatsumura
Fumihiko Eto
Katsuya Nagashima
Shun Okuwaki
Hisanori Gamada
Sho Iwabuchi
Takeshi Ogawa
Takeo Mammoto
Atsushi Hirano
Masashi Yamazaki
author_facet Masaki Tatsumura
Fumihiko Eto
Katsuya Nagashima
Shun Okuwaki
Hisanori Gamada
Sho Iwabuchi
Takeshi Ogawa
Takeo Mammoto
Atsushi Hirano
Masashi Yamazaki
author_sort Masaki Tatsumura
title Features of sacral alar fatigue fractures in adolescent athletes with overuse
title_short Features of sacral alar fatigue fractures in adolescent athletes with overuse
title_full Features of sacral alar fatigue fractures in adolescent athletes with overuse
title_fullStr Features of sacral alar fatigue fractures in adolescent athletes with overuse
title_full_unstemmed Features of sacral alar fatigue fractures in adolescent athletes with overuse
title_sort features of sacral alar fatigue fractures in adolescent athletes with overuse
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/7ddcb231594e46c1adf6d2b90ab4d0c3
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