Lumbar pain in athletes and ballet dancers: pathology of the lumboiliac ligament

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Abstract

The experience in examination and treatment of 21 patients with low back pain resulted in ligamentum iliolumbale pathology is presented. Clinical neurologic examination takes significant place in diagnosis of ligamentopathy. Correct interpretation of provocated testing data and pseudoradicular syndrome allows to avoid the diagnostic mistakes and inadequate treatment.

 

About the authors

S. P. Mironov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

G. M. Burmakova

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

A. I. Krupatkin

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

References

Supplementary files

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1. JATS XML
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2. Rice. 1. Anatomy of the lumboiliac ligament (marked in green).

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3. Rice. 2. Pseudo Radicular syndrome (green color - pain irradiation zones).

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4. Rice. 3. Provocative diagnostic testing of the lumboiliac ligament.

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5. Rice. 4. X-ray picture of traction apophysitis (patient, 25 years old, ballet soloist).

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6. Rice. Fig. 5. Thermograms of the lumbar region in the pathology of the lumboiliac ligament. a — acute period: hyperthermia in the area of the distal attachment of the PPS; b — remote period: hypothermia in the area of distal attachment of the PPS; c — thermogram for lumbodynia against the background of L5-S1 prolapse on the right (given for comparison): diffuse hyperthermia in the vertebral and paravertebral zones, thermal amputation in the area of the affected spinal segment on the right are typical. There are no thermographic disturbances in the areas of PPS attachment.

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7. Rice. 6. Scintigram: decrease in the accumulation of the radiopharmaceutical in the area of the transverse process of the L5 vertebra as a result of the development of degenerative-dystrophic changes in the area of the proximal attachment of the lumboiliac ligament.

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8. Rice. 7. Positioning of the therapeutic head of the device "Dornier EPOS" in case of pathology of the distal attachment of the lumboiliac ligament.

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