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Spondylolysis in young tennis players.

A Ruiz-Cotorro1, R Balius-Matas, A E Estruch-Massana

  • 1Spanish Tennis Federation, Spain. aruizcotorro@terra.es

British Journal of Sports Medicine
|April 25, 2006
PubMed
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Spondylolysis, a vertebral bone defect, is common in young tennis players. Radiography, bone scintigraphy, and CT scans aid diagnosis, but brace treatment showed limited effectiveness in this study.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • Spondylolysis is a bone defect in the vertebral pars interarticularis.
  • It is a common injury among young athletes, particularly in sports involving repetitive hyperextension.
  • Understanding its diagnosis and treatment is crucial for athletes' careers.

Purpose of the Study:

  • To review the etiology, diagnosis, and treatment of spondylolysis.
  • To describe a retrospective study of young tennis players diagnosed with spondylolysis.
  • To evaluate the effectiveness of diagnostic imaging and treatment modalities.

Main Methods:

  • Retrospective analysis of 66 young tennis players diagnosed between 2000 and 2004.
  • Diagnostic assessment included radiography, planar bone scintigraphy, and computed tomography (CT) when needed.

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  • Classification, treatment, and outcomes were recorded for each case.

    • Main Results:

    • The study evaluated 66 cases of spondylolysis, with the majority (53) at the L5 level.
    • A combination of radiography, bone scintigraphy, and SPECT proved useful for diagnosis.
    • Brace treatment did not demonstrate significant positive outcomes in this cohort.

    Conclusions:

    • Radiography, planar bone scintigraphy, and SPECT are valuable tools for diagnosing spondylolysis in tennis players.
    • Effective treatment strategies require careful consideration, as conservative measures like bracing showed limited success.
    • Further research into optimal treatment protocols for athletic populations is warranted.