Interspinous bursitis in an athlete.

Abstract

We present a case of L2/3 interspinous bursitis treated with extraspinal injections. No previous investigations have used fluoroscopically guided spinal injections to confirm the clinical relevance of the MRI features of this type of bursae. Autopsy studies have revealed an increased incidence of interspinous lumbar bursal cavities with advancing age. Afflicted patients present with localised, midline lower lumbar pain exacerbated by extension. In young athletes these symptoms can mimic spondylolysis. MRI is useful in detecting soft-tissue injury of the posterior elements. Fluoroscopically guided diagnostic and therapeutic extraspinal injections can be used for confirmation and treatment of pain from such bursae.

• Authors: M J DePalma, C W Slipman, E Siegelman, T J Bayruns, A Bhargava, M E Frey, K R Chin
• Journal: The Journal of bone and joint surgery. British volume (J Bone Joint Surg Br) Vol. 86 Issue 7 Pg. 1062-4 (Sep 2004) ISSN: 0301-620X [Print] England
• PMID: 15446539 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids
• Betamethasone

Topics

• Adolescent
• Basketball (injuries)
• Betamethasone (therapeutic use)
• Bursitis (diagnosis, drug therapy, etiology)
• Cumulative Trauma Disorders (complications)
• Female
• Glucocorticoids (therapeutic use)
• Humans
• Lumbar Vertebrae
• Magnetic Resonance Imaging
• Spinal Diseases (diagnosis, drug therapy, etiology)