Lumbar pain in athletes and ballet dancers: pathology of the intervertebral joints (facet syndrome)

Cover Page

Cite item

Full Text

Abstract

The experience in examination and treatment of 92 patients (athletes and ballet dancers) with lumbar pain syndrome caused by pathology of intravertebral joints, so-called «faset syndrome» is presented. Curative diagnostic blockade of a joint has an important significance for exact diagnosis side by side with clinical and roentgenologic examination. Treatment included analgetic blockade and transcutaneous radiofrequency destruction of facet nerves. Comparative analysis of conservative and operative methods of treatment of athletes and ballet dancers with facet syndrome was carried out.

About the authors

S. P. Mironov

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

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

G. M. Vurmakova

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

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

References

  1. Акатов О.В., Древаль О.Н. //Материалы III съезда нейрохирургов России. — СПб, 2002. — С. 232.
  2. Алтунбаев Р.А., Камалов И.И. //Вертеброневрология. — 1998. — N 1. — С. 10-13.
  3. Габуния Р.И., Колесникова Е.К. Компьютерная томография в клинической диагностике.— М., 1995. -— С. 319-320.
  4. Жарков П.Л. Остеохондроз и другие дистрофические изменения позвоночника у взрослых и детей. — М., 1994. — С. 240.
  5. Заборовский В.К. //Периферическая нервная система: Сб. науч. трудов. — Минск, 1990. — Вып. 13. — С. 85-93.
  6. Кузнецов В.Ф. Справочник по вертеброневрологии: клиника, диагностика. — Минск, 2000.
  7. Назаренко Г.И., Черкашов А.М., Рухманов А.А., Назаренко А.Г. //Вестн. травматол. ортопед. — 2001. — N 4. — С. 3-9.
  8. Продан А.И., Пащук А.Ю., Радченко В.А. Поясничный спондилоартроз. — Харьков, 1992.
  9. Радченко В.А. Диагностика и лечение артроза дугоотростчатых суставов при поясничном остеохондрозе: Автореф. дис. ... канд. мед. наук. — Харьков, 1988.
  10. Сак Л.Д. Малоинвазивная хирургия при остеохондрозе позвоночника: Автореф. дис. ... д-ра мед. наук. — Новосибирск, 2000.
  11. Соламин С.Х. Спондилоартроз поясничного отдела позвоночника и методы его лечения (экспериментально-клиническое исследование): Автореф. дис. ... канд. мед. наук. — Минск, 1994.
  12. Черкашов А.М. Теоретические и прикладные аспекты технологии диагностики и лечения дегенеративных заболеваний поясничного отдела позвоночника: Автореф. дис. ... д-ра. мед. наук. — М., 2002.
  13. Avramov А. I. et al. //J. Bone Jt Surg. — 1992. — Vol. 74A. — P. 1464-1471.
  14. Bogduk N., Engel R. //Spine. — 1984. — Vol. 9. — P. 454-460.
  15. Bogduk N., Long D.M. //J. Neurosurg. — 1979. — Vol. 51. — P. 172-177.
  16. Carrera G.F. //Radiology. — 1980. Vol. 137. — P. 661- 664.
  17. Cosman E.R., Nashold B.S., Bedenbaugh P. //Neurophysiology. — 1993. — Vol. 46. — P. 160—166.
  18. Cosman B.J., Cosman E.R. Guide to radiofrteqency lesion generation in neurosurgery. — Burlington, 1974.
  19. Dory M.F. //Radiology. — 1981. — N 140. — P. 23-27.
  20. Eisenstein S.M., Parry C.R. //J. Bone Jt Surg. — 1987. — Vol. 69B, N 1. — P. 3-7.
  21. Fassio J.P., Bovier J.P., Ginestie J.F. //Rev. Chir. Orthop. - 1981. — N 67, Suppl. II. — P. 131-136.
  22. Gallagher J. et al. //Pain Clin. — 1994. — Vol. 7, N 3. — P. 193-198.
  23. Ghormley R.K. //JAMA. — 1933. — N 101. — P. 1973-1977.
  24. Grevitt M., Mulholland R. //J. Bone Jt Surg. — 1995. — Vol. 77B, Suppl II. — P. 159.
  25. Hirsch D., Inglemark B., Miller M. //Acta Orthop. Scand. - 1963. — N 33. — P. 1-17.
  26. Jerosch J.H. et al. //Z. Orthop. — 1993. — N 131. — S. 241-247.
  27. King J.S., Logger R. //Surg. Neurol. — 1976. — N 5. — P. 46-50.
  28. Kirkaldy-Willis W.H. Segmental instability, the lumbar spine. — Philadelphia, 1990.
  29. Kline M.T. Stereotactic radiofrequency lesions as part of the management of chronic pain. — St. Luicie Press, 1996. — P. 85.
  30. Letcher F.S., Goldring S. //J. Neurosurge. — 1968. — Vol. 29. — P. 42-47.
  31. Lewinnek G.E., Warfield C.A. //Clin. Orthop. — 1986. — N 213. — P. 216-222.
  32. Lilius G. et al. //J. Bone Jt Surg. — 1989. — Vol. 71B. — P. 681-684.
  33. Lippet A.B. //Spine. — 1984. — N 9. — P. 746-750.
  34. Lynch M.C., Taylor J.F. //J. Bone Jt Surg. — 1986. — Vol. 68B. — P. 138-141.
  35. Maigne R., Le Corre F., Judet H. // Nouv. Presse Med. —1978— N 7. — P. 565-568.
  36. McCall I.W., Park W.M., O'Brien J.P. //Spine. — 1979. — N 4. — P. 441-446.
  37. Mooney V., Robertson J. //Clin. Orthop. — 1976. — N 115. — P. 149-156.
  38. Mehta M., Sluyter M.E. //Anaesthesia. — 1979. — Vol. 34. — P. 768-775.
  39. North R.B. et al. //Pain. — 1994. — N 57. — P. 77-83.
  40. Paris S.V. //Movement, stability and low back pain. — New York etc, 1997. — P. 319-330.
  41. Rees W.S. //Ann. Gen. Pract. — 1974. — Vol. 26. — P. 126-127.
  42. Sanders M., Zuurmond W. //Pain Clin. — 1998. — Vol. 10. — P. 253-259.
  43. Silvers H.R. //Spine. —- 1990. — Vol. 15. — P. 36-40.
  44. Shealy C.N. //Clin. Orthop. — 1976. — N 115. — P. 157-164.
  45. Theron J. et al. //J. Neuroradiol. — 1983. — N 20. — P. 209-230.
  46. Uematsu S. et al. //Surg. Neurol. — 1974. — Vol. 2. — P. 319-325.
  47. Weiz A. et al. //Orthop. Prax. — 2001. -— Bd 37, N 6. — S. 379-389.
  48. Willard F.H. //Movement, stability and low back pain. — New York etc, 1997. — P. 3-35.
  49. Yamashita T. et al. //J. Bone Jt Surg. — 1990. — Vol. 72A, N 6. — P. 865-870.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Scheme of the structure of the facet joint (side view) [9]. 1 - cartilage of the articular surface; 2 - lower articular process; 3 - joint space; 4 - lower inversion of the joint; 5 - spinal nerve; 6 - upper inversion of the joint; 7 - yellow ligament; 8 - superior articular process.

Download (300KB)
Indexing metadata
3. Fig. 2. Scheme of innervation of the facet joint [37]. The medial branch (1) continues distally and sends multiple thin branches to the medial surface of the superior facet (2).

Download (370KB)
Indexing metadata
4. Fig. 3. Patient K. X-ray during the operation of radiofrequency destruction of the facet nerves.

Download (417KB)
Indexing metadata
5. Fig. 4. Patient K. Thermograms of the lumbar region. a - before surgery; b — one day after radiofrequency dereception of the facets: there is diffuse hyperthermia of the lumbar paravertebral zones (“hot” acute phase of the denervation syndrome); c — a week after surgery: no thermal asymmetry in the lumbar region against the background of its moderate hypothermia (reduction of the "hot" phase of the denervation syndrome).

Download (480KB)
Indexing metadata

Copyright (c) 2003 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies