scholarly journals Physical therapy on the conservative treatment on adolescent with Scheuermann’s Disease – a case report.

2014 ◽  
Vol 12 ◽  
pp. 174
Author(s):  
Rafael Turqueto Duarte ◽  
Felipe Serenza ◽  
Gabriel Peixoto Leão Almeida ◽  
Michel Kanas ◽  
Hélcio Gongora
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Conservative Treatment ◽  
Cobb Angle ◽  
Social Acceptance ◽  
Physical Therapist ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Treatment Objective ◽  
At Home

Introduction: The Scheuermann’s kyphosis may cause difficulties in social acceptance and in the practice of physical activity in adolescents, mainly caused by deformity of the thoracic spine. This change is diagnosed by radiological imaging when at least three adjacent vertebrae submit a previous larger than 5° wedging. Patients who have a Cobb angle greater than 75° are indicated for surgery. However, to date there is no agreement on how best to approach the patient in the conservative treatment. Objective: To present the conservative treatment of the back pain on an adolescent with Scheuermann's disease. Method: Case report of a young patient complaining of back pain and with the Cobb angle greater than 75°, treated with exercises and postural reeducation for 12 weeks. The changes on flexibility of the spine was measured by the popliteal angle and with a fio de prumo. Moreover, it was evaluated the isometric strength of the trunk, the functional capacity by the Oswestry questionnare and the pain with a Visual Analogue Scale. Results: The patient improved with his pain and functional abilities, maintaining the practice of exercises by himself at home. Conclusion: After learning the exercises and practice it at home, with the orientation of a manual and the physical therapist, the patient do not presented any more complaining of pain.

scholarly journals A study of vertebral geometry before and after conservative treatment in thoracic Scheuermann's disease

Scoliosis ◽  
2009 ◽  
Vol 4 (S2) ◽  
Author(s):  
AG Aulisa ◽  
V Guzzanti ◽  
C Perisano ◽  
G Mastantuoni ◽  
L Aulisa
Keyword(s):  
Conservative Treatment ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Before And After

scholarly journals Acute Lumbar Paraspinal Compartment Syndrome after a Tug of War: A Case Report and Review of the Literature

2020 ◽  
pp. 1-4
Author(s):  
Moritz C. Deml ◽  
Raphael Sedlmayer ◽  
Irakli Tinikashvili ◽  
Sebastian F. Bigdon ◽  
Helena Milavec ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Back Pain ◽  
Case Report ◽  
Conservative Treatment ◽  
Ct Scan ◽  
Compartment Syndrome ◽  
Symptom Onset ◽  
Clinical Importance ◽  
Review Of The Literature ◽  
Acute Back Pain

Compartment syndrome of the upper and the lower extremities is a well-known entity in emergency medicine and traumatology. However, compartment syndrome of the paraspinal musculature is a very rare cause of acute back pain and may be missed at presentation despite its clinical importance. Therefore, we present a case of paraspinal compartment syndrome embedded in an overview of the actual literature. A 21- year-old woman presented with acute back pain refractory to analgesia with opiates after a tug of war match. A CT-scan of the abdomen demonstrated paraspinal swelling and an MRI ruled out intra-spinal pathologies. A compartment measurement yielded a pressure of 135mmHg. Even though conservative treatment attempts are often described, an emergency fasciotomy was carried out. Further rehabilitation was uneventful. Nevertheless, the timing of fasciotomy in the paraspinal region is under discussion, especially due to very rare experiences. Even if surgery is delayed by more than 24 hours following symptom onset, favourable postoperative outcomes have been observed.

scholarly journals DIFFERENTIAL DIAGNOSIS IN AXIAL BACK PAIN AT CHILD

2016 ◽  
Vol 65 (4) ◽  
pp. 353-356
Author(s):  
Leo Stati ◽  
Keyword(s):  
Differential Diagnosis ◽  
Back Pain ◽  
Clinical Laboratory ◽  
Medical Specialties ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Spine Tumors ◽  
Axial Pain

Most cases of back axial pain of the child, are lying on the border between pathology and surgical medical specialties. Continuous pain lasting more than two weeks can be a sign of severe pathologies, imposing the urgent clinical, laboratory and imaging investigation. It identifies several causes that can produce axial back pain in childhood: Scheuermann’s disease, symptomatic scoliosis (secondary), spondylolysis, spondylolisthesis, spondylodiscitis, sacroileitis, fractures of the column, spine tumors and rheumatic spondyloarthropathies.

scholarly journals Frequent Benign, Nontraumatic, Noninflammatory Causes of Low Back Pain in Adolescents: MRI Findings

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Aikaterini Solomou ◽  
Pantelis Kraniotis ◽  
Aspasia Rigopoulou ◽  
Theodore Petsas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Degenerative Changes ◽  
Low Back ◽  
Mri Findings ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
Endplate Changes ◽  
History Of

Introduction. Low back pain (LBP) is common in children and adolescents. There are many factors that cause LBP, including structural disorders, degenerative changes, Scheuermann’s disease, fractures, inflammation, and tumors. Magnetic Resonance Imaging is the gold standard for diagnosing spinal abnormalities and is mandatory when neurological symptoms exist. The study focuses on common MRI findings in adolescents with persistent LBP, without history of acute trauma or evidence of either inflammatory or rheumatic disease. Materials and Methods. Eleven adolescents were submitted to thoracic and/or lumbar spine MRI due to persistent LBP. The protocol consisted of T1 WI, T2 WI, and T2 WI with FS, in the axial, sagittal, and coronal plane. Results. MRI revealed structural abnormalities (scoliosis and kyphosis) in 4/11 (36.36%); disc abnormalities and endplate changes were found on 11/11 (100%). Typical Scheuermann’s disease was found in 3/11 (27.27%). Endplate changes were severe in Scheuermann’s patients and mild to moderate in the remaining 8/11 (72.72%). Kyphosis was in all cases secondary to Scheuermann’s disease. Disk bulges and hernias were found in 8/11 (72.72%), all located in the lumbar spine. Conclusion. In adolescents with LBP, structural spinal disorders, degenerative changes, and Scheuermann’s disease are commonly found on MRI; however, degenerative changes prevail.

scholarly journals A Case of Scheuermann’s Disease Co-Occurrence with Idiopathic Scoliosis and Intradural-Extramedullary Epidermoid Cyst: The First Case Report in Literature

2019 ◽  
pp. 1-4
Author(s):  
Dingjun Hao ◽  
Jinwen Zhu ◽  
Xiaodong Wang ◽  
Zhen Chang
Keyword(s):  
Case Report ◽  
Idiopathic Scoliosis ◽  
Epidermoid Cyst ◽  
Scheuermann’S Disease ◽  
Scheuermann's Disease ◽  
First Case ◽  
Walking Aids ◽  
Stratified Squamous Epithelium ◽  
Intradural Extramedullary ◽  
Skin Adnexa

Background and importance: Scheuermann’s disease (SD), intradural-extramedullary epidermoid cysts and idiopathic scoliosis (IS) are all rare conditions. The co-occurrence of the three condition on one case has not been reported in literature before. We describe an extremely rare case of SD co-occurrence with IS and intradural-extramedullary epidermoid cyst, which is the first in the literature. Clinical presentation: A 13-year old boy and his parents presented at Honghui Hospital complaining of progressive hyperkyphosis for 5 years and back pain for 2 months. Thorough medical examination and radiology confirmed the diagnosis of SD kyphosis, IS, and intradural-extramedullary epidermoid cyst. Medical panel with spine surgeons, oncologists, neurosurgeons, histopathologists and radiologists were consulted. Tumor excise, kyphosis recorrection and spine reconstruction surgery was conducted. Postoperative histological examination detected desquamation of keratin from the epithelial lining and stratified squamous epithelium without skin adnexa. The boy was ambulant 2 days postoperative with walking aids. Conclusion: This is the first case report of Scheuermann’s disease (SD) co-occurrence with idiopathic scoliosis (IS) and intradural-extramedullary epidermoid cyst. The co-occurrence of intradural epidermoid cyst, SD and IS might not be a coincidence, indicating a kind of genetic etiology need to be illuminated.

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