Spinal ligament pathology.
Abstract: Young elite athletes, particularly horses used for jumping, are at a relatively high risk for injury to the ligaments associated with the axial skeleton. Extreme back flexion appears to be a contributing factor to ligament damage. Back pain due to injury of the ligaments of the axial skeleton has often been considered to be secondary to lower limb injury, to the extent that a separate definitive diagnosis, treatment, and prognosis were unnecessary. Diagnostic imaging, ultrasound in particular, has demonstrated ligamentous damage that can be the limiting factor in return to previous athletic use. A high index of suspicion for back ligament damage during clinical examination for hind limb lameness will lead to improved diagnosis and therapy.
Publication Date: 1999-04-28 PubMed ID: 10218244DOI: 10.1016/s0749-0739(17)30166-9Google Scholar: Lookup
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Summary
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The study focuses on how extreme back flexion among young elite athletes, particularly jumping horses, influences spinal ligament injuries, and underlines the importance of ultrasound in diagnosing these predominately overlooked damages that may hinder full athletic recovery.
Overview of Research
- The researchers first highlight the context focusing on young elite athletes, and the risks associated with them, especially in jumping horses. These athletes have a high risk of damaging ligaments in the axial skeleton, a complex of 80 bones that include the skull, spine, ribs, and sternum. Specifically, the research emphasizes that extreme back flexion in these participants is a significant contributing factor to such damage.
- The authors then lay out the common misconception about spinal ligament injuries. Traditionally, back pain due to ligament injury in the axial skeleton has been considered secondary, or less important, compared to lower limb injury. Because of this, separate diagnosis, treatment, and prognosis for spinal ligament injuries have often been overlooked.
Role of Diagnostic Imaging
- The research widens its scope to shed light on the role of diagnostic imaging, particularly the use of ultrasound, in detailing the damage to spinal ligaments. The researchers argue that the ultrasound proves effective in identifying ligamentous damages which could otherwise be limiting factors when athletes attempt to return to their previous levels of activity.
Importance of Spinal Ligament Damage Diagnosis in Clinical Examination
- The article closes with a call to action, suggesting a greater awareness and focus during clinical examinations in identifying potential spinal ligament damages. According to the researchers, plotting this high index of suspicion when examining hind limb lameness could improve both the diagnosis and therapeutic strategies, ensuring better health management and speedy recovery for the athletes.
Cite This Article
APA
Gillis C.
(1999).
Spinal ligament pathology.
Vet Clin North Am Equine Pract, 15(1), 97-101.
https://doi.org/10.1016/s0749-0739(17)30166-9 Publication
Researcher Affiliations
- Department of Surgery and Radiology, School of Veterinary Medicine, University of California, Davis, USA.
MeSH Terms
- Animals
- Back Pain / diagnostic imaging
- Back Pain / veterinary
- Horse Diseases / diagnostic imaging
- Horses
- Ligaments / diagnostic imaging
- Retrospective Studies
- Spine / diagnostic imaging
- Ultrasonography
References
This article includes 20 references
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