Transverse process fracture

Case
A 35-year-old male elite player presented with back pain after being hit on his left lower back during a match. He could not play the next game due to intense back pain. While he had tenderness over his lower lumbar spine the remainder of his physical examination was normal. There was a normal range of motion of the lumbar spine and lower limbs, no focal neurological symptoms and a negative straight leg raise rest.

Findings
An x-ray series of his lumbar spine did not show any definitive abnormality. A subsequent MRI shows a fracture of both the left L2 and L3 transverse processes. There is bony and soft tissue oedema associated with the fracture. There is no significant displacement.

Discussion
This player was treated with reassurance, simple analgesia and a progressive return to play programme. He was able to resume training seven weeks after his injury.
Transverse process fractures are considered stable lumbar spine fractures. These fractures are normally due to direct blow (heavy impact) to the lumbar region, thereby are sometimes associated to other injuries (e.g. intra-abdominal injuries). In many cases this injury can be diagnosed on the basis of a patient’s history, clinical examination and x-ray findings. In these cases, further investigations are rarely needed.

Important notice
FIFA does not bear any responsibility for the accuracy and completeness of any information provided in the “Radiology Review” features and cannot be held liable with regard to the information provided or any acts or omissions occurring on the basis of this information.

2
Comment

avatar
2 Comment threads
0 Thread replies
1 Followers
 
Most reacted comment
Hottest comment thread
2 Comment authors
Khaled hussienBangoura Recent comment authors
  Subscribe  
newest oldest most voted
Notify of
Bangoura
Guest
Bangoura

TOUT TRAUMATISME DE LA COLONNE VERTEBRALE DOIT ETRE PRIS AU SERIEUX POUR UNE BONNE PRISE EN CHARGE.
FAIRE UN BON EXAMENP HYSIQUE SUIVI D UNE RADIOGRAPHIE NUMERISEE EN FACE ET PROFIL RENFORCER PAR L IRM OU LE SCANER POUR POSITIVER UNE EVENTUELLE ATTEINTE AU NIVEAU DE LA COLONNE LOMBAIRE.
EN CAS DE FRACTURE DESU PROCESSUS TRANSVERSAUX SANS DEPLACEMENT DU L2 L3 UN DELAI DE 12 SEMAINES SUFFIT POUR UNE CONSSOLIDATION SAUF EN CAS DE COMPLICATION OU UNE INTERVENTION CHIRURGICALE S IMPOSE.
LORSQU UNE VERTEBRE SE FRACTURE LES CONSEQUENCES SONT GRAVES ALLAT JUSQU A UNE PARALYSIE

Khaled hussien
Member
Khaled hussien

Start