腰椎形环断裂与中央盘:一个案例报告
Eric Chun-Pu Chu1, Benjamin Kah Chun Cheong1, Eden Yt Chu1
1Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong, CHN.
Cureus
|September 24, 2025
概括
椎间盘椎间盘环骨折 (LARF) 与椎间盘可以导致年轻运动员的神经问题. 一种多式体操治疗方法成功地治疗了一名患有LARF的网球运动员,使其能够完全恢复体育运动.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 整形外科的治疗方法
背景情况:
- 腰椎形环骨折 (LARF) 与中心盘是青少年运动员神经症状的罕见原因.
- 这些病例存在诊断和治疗方面的挑战,通常不会对标准的物理治疗做出反应.
研究的目的:
- 报告一名职业青少年网球运动员患有LARF和中央椎间盘的病例.
- 为了评估多式治疗手术或标准保守护理的替代方案多式治疗手术的疗效.
主要方法:
- 一名14岁的男性职业网球运动员患有S1LARF和中枢椎间盘的治疗.
- 患者接受了多模式的脊椎治疗方案,包括脊柱操纵疗法,冲击波治疗和机械腰部分散注意力.
- 手术被拒绝,标准的物理治疗本身没有反应.
主要成果:
- 患者经历了双边下肢紧张和辐射感觉的完全消失.
- 他实现了全面重返竞技网球.
- 在24个月的随访中,高功能和患者满意度保持不变.
结论:
- 应考虑LARF在年轻的运动员持久,耐火的神经症状.
- 个性化,多模式的非手术管理,包括手术治疗,可以为LARF带来很好的长期结果.
- 这种方法与当前基于证据的指导方针相一致,用于管理如此复杂的案件.
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