I am looking forward to engaging with the readership in discussion on articles contained in our most recent edition of CJSM that came out on May 8. If you haven’t had the chance to check that issue out, please do so. The focus in this edition is on “Injury Surveillance in Sports Medicine.” We have a lineup of articles highlighting research on this issue in an array of sports, ranging from snowboarding to ice hockey to baseball, and from high school to Olympic levels of sport. I plan to post thoughts about a couple of articles I find particularly interesting, so make sure to visit this site and the CJSM journal site over the next week.
But first, my interest was piqued last week by an article in a Lippincott Williams & Wilkins sister journal, the Journal of Pediatric Orthopaedics, and I wanted to write about that on this Sunday morning, Mother’s Day here in the U.S. (“Mom” has already had her breakfast in bed and is off for a massage, the kids are outside playing, and so I’ve got a couple of hours to get on-line).
My topic for the day is the article, “Imaging Modalities for Low Back Pain in Children: A Review of Spondylolysis and Undiagnosed Mechanical Back Pain,” found in the April/May 2013 issue of the Journal of Pediatric Orthopaedics.
Bilateral L5 spondylolysis, CT scan
We see a ton of visits for back pain in our clinic at the Nationwide Children’s Hospital Division of Sports Medicine in Columbus, Ohio. Our Department of Orthopaedics does as well, but I can only speak directly to the experience of our Division of Sports Medicine, where nine primary care sports medicine physicians (including our fellow) do full time sports medicine. In 2012 we saw 548 unique, new back pain visits in the Division, with a median age on presentation of 14.2 years and a gender breakdown of 55% female visits to 45% male. Back pain represents 9.2% of our Division’s total new patient visits and is the third most common ‘body part’ we see on presentation (knee is number one, ‘head’–mostly concussion–is number two) with approximately 1700 of 13,000 total patient visits in 2012 having their principal diagnosis fall in some diagnostic category of back pain. Read more of this post