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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.67 (2021) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/1382
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| タイトル: | Ossification of the ligamentum flavum in the thoracic spine mimicking sciatica in a young baseball pitcher: a case report |
| 著者: | Kato, Kinshi
Yabuki, Shoji
Otani, Koji
Nikaido, Takuya
Otoshi, Ken-Ichi
Watanabe, Kazuyuki
Kikuchi, Shin-Ichi
Konno, Shin-Ichi |
| 学内所属: | 整形外科学講座
スポーツ医学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 67 |
| 号: | 1 |
| 開始ページ: | 33 |
| 終了ページ: | 37 |
| 発行日: | 2021年 |
| 抄録: | 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. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/1382 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/1382/1/FksmJMedSci_67_p33.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2020-26 |
| PubMed番号: | 33731510 |
| 関連ページ: | https://doi.org/10.5387/fms.2020-26 |
| 権利情報: | © 2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.67 (2021)
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