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The most recent version of this article was published on 1 May 2007

Br J Sports Med. Published Online First: 30 November 2006. doi:10.1136/bjsm.2006.032789
Copyright © 2006 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Case Report

A stress fracture of the lumbar spine in a professional rugby player

Bernard H Castinel 1*, Philippe Adam 2 and Christophe Prat 3

1 Centre d'Imagerie de la Clinique des Cèdres, Château d’Alliez, France
2 Centre d’Imagerie de la Clinique des Cèdres, Château d’Alliez, 31 700 Cornebarrieu, France
3 Equipe médicale, Stade Toulousain Rugby, 31 000 Toulouse, France

* To whom correspondence should be addressed. E-mail: bcastinel{at}yahoo.fr.

Accepted 8 November 2006


Abstract

In modern rugby, the spine is subjected to great physical pressure. Indeed there are more and more impacts involving axial loading and radial torque especially on the cervical spine but also on the lumbar spine. The players have become larger, the game faster, with more sequences and less recovery time .We can distinguish acute spinal injuries but also chronic and overuse injuries. We present here the case of a 32 year old international professional rugbyman playing in a Championship level French team, who presented a stress fracture of the right pars interarticularis of L5.

Key Words: isthmolysis, pars interarticularis, rugby, stress fracture, unilateral


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