Ossification of the ligamentum flavum in the thoracic spine mimicking sciatica in a young baseball pitcher:a case report
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- Kato Kinshi
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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- Yabuki Shoji
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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- Otani Koji
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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- Nikaido Takuya
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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- Otoshi Ken-ichi
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine Department of Sport Medicine, Fukushima Medical University School of Medicine
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- Watanabe Kazuyuki
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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- Kikuchi Shin-ichi
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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- Konno Shin-ichi
- Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine
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抄録
<p>Thoracic ossification of the ligamentum flavum (OLF) is a pathological condition that causes myelopathy, with unilateral lower extremity pain rarely a feature in the presenting complaint. Moreover, most symptomatic cases of thoracic OLF occur in middle-aged men, with younger individuals rarely affected. We present a rare case of severe and chronic unilateral buttock and leg pain mimicking sciatica due to thoracic OLF in a professional baseball pitcher. A 28-year-old, right-handed, Japanese professional baseball pitcher experienced intractable left leg pain with numbness and spasticity. After the initial presentation, extensive testing focusing on lumbar, hip, and pelvis lesions failed to identify a cause for the pain. One year after onset, careful neurological examination showed signs of upper motor neuron disturbance, and thoracic computed tomography and magnetic resonance imaging revealed thoracic OLF at the level of the thoracolumbar junction. After resection of the thoracic OLF, the pain, numbness, and spasticity completely resolved. He resumed full training and was pitching in top condition within four months after surgery. Though rare, thoracic OLF should be considered in the differential diagnosis of lower extremity pain in young athletes, especially amongst high-level baseball pitchers.</p>
収録刊行物
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- 福島医学会
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福島医学会 67 (1), 33-37, 2020
福島医学会
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詳細情報 詳細情報について
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- CRID
- 1390006198876857856
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- NII論文ID
- 120007027439
- 130008023538
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- NII書誌ID
- AA0065246X
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- ISSN
- 21854610
- 00162590
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- PubMed
- 33731510
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可