conducted a retrospective epidemiological study of thoracic and lumbar fractures in skiers and snowboarders over a 5-year period and found 43 instances of isolated TPF accounting for 29% of all fractures reported. The authors hypothesized that the fractures occurred after repeated small stresses on the spine associated with fast-bowling. The player presented with chronic lower back pain with no obvious precipitant. reported a case of multiple displaced lumbar TPF (L1–5) in a cricket bowler. The player was precluded from contact sport with an RTP of 4 weeks without an adverse event.īali et al. The injury was precipitated by a ‘spear’ in the back during an American football game. RTP data were not specified.īrynin and Gardiner detailed a single case of lumbar TPF at L2 and 元, confirmed on CT. The fracture was complicated by traumatic transverse colon rupture requiring a stay in intensive care and colostomy. These are detailed as follows.ĭutson outlined a case of TPF of L1 in a trainee association footballer, associated with direct blunt trauma to the players back from a goalkeeper's knee. Currently, there is a paucity of research in sport-related TPF with the existing literature taking the form of epidemiological studies or case reports. While TPF can occur in the athlete, it is probably associated with a lower energy MOI, rarely complicated and commonly associated with a relatively swift recovery. TPF in the general population is more commonly complicated with visceral injury with or without nerve root injury. TPF has traditionally been associated with high-energy direct trauma or violent muscular contraction, often in the road traffic accident context.
#Transverse process fracture treatment professional#
To date, the player has not experienced any further morbidity associated with this injury and continues to play regular professional sport. He returned to outdoor training at Day 57 and return to play (RTP) time was 68 days post-trauma. The player returned to low-level physical activity (gym-based cycling) at Day 21. This was precipitated by massage while lying prone on the treatment table and resolved spontaneously once the spasm had been treated. At this time, the player also developed transient paraesthesia of the lateral aspect of his left foot-an area incongruent with the level of the TPF. In addition, diazepam was prescribed as a muscle relaxant after the development of lower back muscle spasm 2 days post-trauma. The player was excluded from training, treated conservatively with rest as previously described in the literature and prescribed oral analgesia for symptomatic relief (paracetamol, ibuprofen and codeine). ( A) L2 coronal slice ( B) 元 coronal slice ( C) L2 axial slice and ( D) 元 axial slice. CT scan of lumbar spine showing left TPF at L2 (mildly displaced anteriorly) and 元 vertebrae (undisplaced).
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