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Anderson, Kyle; Jf, Sarwark; Jj, Conway; Es, Logue; Mf, Schafer

doi:10.1097/00004694-200001000-00007

Cited by 32 publications

(15 citation statements)

References 27 publications

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“…However, a retrospective study of a cohort of adolescents (mean age 13.9 ± 2.2 years) with symptomatic baseball participation was identified as the fourth most common sport identified, 8.9% of the patients being identified as baseball players, within the cohort of patients with spondylolysis (Ladenhauf et al, 2013). In other studies referenced by Ladenhauf et al, LBP frequency occurred in between 8.5% and 14.6% of youth baseball players (ages 12–15.5; Anderson, Sarwark, Conway, Logue, & Schafer, 2000; Blanda, Bethem, Moats, & Lew, 1993; Miller, Congeni, & Swanson, 2004). …”

Section: Association Of Lbp In Individuals With Baseball Playing Historymentioning

confidence: 78%

Prevalence and proposed mechanisms of chronic low back pain in baseball: part i

Wasser¹,

Zaremski

Herman³

et al. 2017

Research in Sports Medicine

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The prevalence of low back pain (LBP) among active baseball players ranges between 3 and 15%. The execution of baseball-specific manoeuvres, such as pitching or batting, may be related to the onset of LBP. These baseball motions are complex and require appropriate activation of the core musculature to produce a well-timed motion with forces minimized at the extremities. The spine, core and back musculature are involved with acceleration and deceleration of rotational motions. This narrative review synopsizes the available evidence of the prevalence of and mechanical factors underlying LBP in the baseball population. Possible mechanical mechanisms linking baseball play to LBP include aberrant motion, improper timing, high lumbar stress due to mechanical loading and lumbopelvic strength deficits. Potential clinical implications relating to these possible mechanical mechanisms will also be highlighted. The state of the evidence suggests that there are deficits in understanding the role of baseball motion and playing history in the development of spine conditions.

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Section: Association Of Lbp In Individuals With Baseball Playing Historymentioning

confidence: 78%

Prevalence and proposed mechanisms of chronic low back pain in baseball: part i

Wasser¹,

Zaremski

Herman³

et al. 2017

Research in Sports Medicine

View full text Add to dashboard Cite

show abstract

“…Bone scanning in shoulders has been used to detect frozen shoulder,7,18,19) osteolysis of the distal clavicle,20,12) pseudoarthrosis of the acromion,21) os acromiale,22) traction apophysitis of the acromion,23) and rotator cuff disease 7,18)…”

Section: Discussionmentioning

confidence: 99%

“…A bone scan, which is an aff ordable diagnostic tool for analyzing shoulder pain, is highly versatile and it provides high-quality medical images. When using SPECT with a bone scan, a phosphoric acid-based combination was found to increase the uptake at the spots where the bone metabolism is enhanced, and this makes it possible to obtain an early diagnosis before impingement syndrome directly affects the shoulder bones 6,7). SPECT bone scintigraphy is also more sensitive than planar imaging because it is possible to separate the underlying and overlying distributions of activity into sequential tomographic images 6)…”

mentioning

confidence: 99%

The Diagnosis and Prognosis of Impingement Syndrome in the Shoulder with Using Quantitative SPECT Assessment: A Prospective Study of 73 Patients and 24 Volunteers

Park

Keum

et al. 2009

Clin Orthop Surg

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BackgroundDiagnosing impingement syndrome without rotator cuff tear usually depends on the physical examination and roentgenography, and obtaining objective evidence for this condition is at best difficult. The purpose of this study was to ascertain whether quantitatively assessing this condition with using single photon emission computerized tomography (SPECT) can diagnose impingement syndrome and predict the postoperative results.MethodsBefore executing arthroscopic or open treatment, SPECT was performed on 73 patients and 24 volunteers and these people were followed up for 2 years. Any increased uptake on SPECT was investigated by using the axial view, which demonstrated the greatest uptake for the acromion, distal clavicle, greater tuberosity, lesser tuberosity and the coracoid process of the operated and non-operated sides.ResultsThe patients who were diagnosed as having impingement syndrome with or without rotator cuff tear showed increased uptake on the operative side compared to the non-operated side in the assessed locations. The greater tuberosity of the humerus could be used for quantitative measurement as a postoperative prognostic factor.ConclusionsThe bone SPECT method is useful for making the diagnosis of patients with impingement sydrome, and the results of quantitative assessment at the greater tuberosity can be used for evaluating the prognosis following the operation.

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“…In recalcitrant cases, electrical stimulation may be added [9,27,28]. Prompt treatment of patients with early pars stress has been shown to result in more predictable symptom relief and less likelihood of progression to spondylolisthesis [29-31]. Surgery is reserved for patients who do not respond to conservative management (approximately 5%), have progressive spondylolisthesis, intractable pain or neurological deficits [18].…”

Section: The Diagnosis and Treatment Of Spondylolysismentioning

confidence: 99%

“…Studies have consistently demonstrated that SPECT is more sensitive than planar bone scintigraphy to identify skeletal lesions [31-33]. Collier et al compared planar bone scintigraphy and SPECT in 19 adults with radiographic evidence of spondylolysis and/or spondylolisthesis and found that SPECT was more sensitive in identifying sites of "painful" pars interarticularis defects and that SPECT allowed more accurate localization of the defect [19].…”

Section: The Utility Of Spect Over Planar Bone Scintigraphy In the Evmentioning

confidence: 99%

The value of SPECT in the detection of stress injury to the pars interarticularis in patients with low back pain

et al. 2010

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The medical cost associated with back pain in the United States is considerable and growing. Although the differential diagnosis of back pain is broad, epidemiological studies suggest a correlation between adult and adolescent complaints. Injury of the pars interarticularis is one of the most common identifiable causes of ongoing low back pain in adolescent athletes. It constitutes a spectrum of disease ranging from bone stress to spondylolysis and spondylolisthesis. Bone stress may be the earliest sign of disease. Repetitive bone stress causes bone remodeling and may result in spondylolysis, a non-displaced fracture of the pars interarticularis. A fracture of the pars interarticularis may ultimately become unstable leading to spondylolisthesis. Results in the literature support the use of bone scintigraphy to diagnose bone stress in patients with suspected spondylolysis. Single photon emission computed tomography (SPECT) provides more contrast than planar bone scintigraphy, increases the sensitivity and improves anatomic localization of skeletal lesions without exposing the patient to additional radiation. It also provides an opportunity for better correlation with other imaging modalities, when necessary. As such, the addition of SPECT to standard planar bone scintigraphy can result in a more accurate diagnosis and a better chance for efficient patient care. It is our expectation that by improving our ability to correctly diagnose bone stress in patients with suspected injury of the posterior elements, the long-term cost of managing this condition will be lowered.

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Untitled

Cited by 32 publications

References 27 publications

Prevalence and proposed mechanisms of chronic low back pain in baseball: part i

Prevalence and proposed mechanisms of chronic low back pain in baseball: part i

The Diagnosis and Prognosis of Impingement Syndrome in the Shoulder with Using Quantitative SPECT Assessment: A Prospective Study of 73 Patients and 24 Volunteers

The value of SPECT in the detection of stress injury to the pars interarticularis in patients with low back pain

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