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Experimental Protocol of a Three-minute, All-out Arm Crank Exercise Test in Spinal-cord Injured and Able-bodied Individuals
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Pars Injuries in Athletes.

Jonathan H Oren, Jason M Gallina

    Bulletin of the Hospital for Joint Disease (2013)
    |March 16, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Pars injuries cause low back pain in young athletes. Magnetic resonance imaging (MRI) is accurate for diagnosis, and while most spondylolysis cases heal, surgical repair is an option for persistent symptoms.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Radiology

    Background:

    • Pars interarticularis injuries are a frequent cause of low back pain in adolescent athletes.
    • Traditional diagnostic workup involves lumbar radiographs and single-photon emission computed tomography (SPECT).

    Purpose of the Study:

    • To review the diagnostic accuracy of MRI for pars injuries in adolescent athletes.
    • To discuss current management strategies for acute and chronic pars defects.

    Main Methods:

    • Literature review of studies comparing MRI, radiographs, and SPECT for diagnosing pars injuries.
    • Analysis of treatment outcomes for bracing and surgical repair.

    Main Results:

    • Recent literature supports MRI as an accurate diagnostic modality for pars injuries.
    • Acute injuries may respond to conservative management like bracing.
    • Most spondylolysis cases lead to asymptomatic non-union, but surgical pars repair is viable for symptomatic defects.

    Conclusions:

    • MRI offers high accuracy in diagnosing pars injuries in adolescent athletes.
    • Conservative management is often effective, with surgical options available for refractory cases.