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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1382

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Title: Ossification of the ligamentum flavum in the thoracic spine mimicking sciatica in a young baseball pitcher: a case report
Authors: Kato, Kinshi
Yabuki, Shoji
Otani, Koji
Nikaido, Takuya
Otoshi, Ken-Ichi
Watanabe, Kazuyuki
Kikuchi, Shin-Ichi
Konno, Shin-Ichi
Affiliation: 整形外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 67
Issue: 1
Start page: 33
End page: 37
Issue Date: 2021
Abstract: Thoracic ossification of the ligamentum flavum (OLF) is a pathological condition that causes myelopathy, with unilateral lower extremity pain rarely a feature in the presenting complaint. Moreover, most symptomatic cases of thoracic OLF occur in middle-aged men, with younger individuals rarely affected. We present a rare case of severe and chronic unilateral buttock and leg pain mimicking sciatica due to thoracic OLF in a professional baseball pitcher. A 28-year-old, right-handed, Japanese professional baseball pitcher experienced intractable left leg pain with numbness and spasticity. After the initial presentation, extensive testing focusing on lumbar, hip, and pelvis lesions failed to identify a cause for the pain. One year after onset, careful neurological examination showed signs of upper motor neuron disturbance, and thoracic computed tomography and magnetic resonance imaging revealed thoracic OLF at the level of the thoracolumbar junction. After resection of the thoracic OLF, the pain, numbness, and spasticity completely resolved. He resumed full training and was pitching in top condition within four months after surgery. Though rare, thoracic OLF should be considered in the differential diagnosis of lower extremity pain in young athletes, especially amongst high-level baseball pitchers.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1382
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1382/1/FksmJMedSci_67_p33.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2020-26
PubMed ID: 33731510
Related Page: https://doi.org/10.5387/fms.2020-26
Rights: © 2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.67 (2021)

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FksmJMedSci_67_p33.pdf640.27 kBAdobe PDFDownload

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