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Back Pain in Young Athletes
Arch Pediatr Adolesc Med 149:15-18, Micheli,L.J.&Wood,R., 1995
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Article Abstract
Sixty-two percent of the adolescents had derangements of their posterior elements associated with the onset of back pain.Forty-seven percent of the 100 adolescents were ultimately shown to have a spondylolysis stress fracture of the pars interarticularis.By contrast,5%of adult subjects were found to have spondylolysis associated with low back pain.Similarly, discogenic back pain was the final diagnosis in 48 of the 100 subjects in the adult group,attributable to disc abnormalities.Muscle-tendone strain accounted for back pain in 27%of the adults,while only 6%of the adolescence were diagnosed as having muscle-tendon strain.These differences were significant.Spinal stenosis and osteoarthritis as causes of back pain were encountered in 10%of the adults,while these conditions were not encountered in the children.There is a significant difference in the major causes of low back pain in young athletes compared with causes of low back pain in the general adult population.Physicians diagnosing back pain in young athletes must have a specific understanding of these differences to avoid incorrect diagnosis and harmful delays in proper treatment.
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