Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2009 Jan;14(1):63-6.

Slipped vertebral epiphysis (report of 2 cases)

Affiliations
Case Reports

Slipped vertebral epiphysis (report of 2 cases)

Majid Reza Farrokhi et al. J Res Med Sci. 2009 Jan.

Abstract

Avulsion or fracture of posterior ring apophysis of lumbar vertebra is an uncommon cause of radicular low back pain in pediatric age group, adolescents and athletes. This lesion is one of differential diagnosis of disc herniation. We reported two teenage boys with sever low back pain and sciatica during soccer play that ultimately treated with diagnosis of slipped vertebral apophysis.

Keywords: Ring Apophysis; disc herniation; low back pain; sciatica; vertebral fracture.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: Authors have no conflicts of interest.

Figures

Figure 1
Figure 1
Computerized CT-scan from L2-L3 intervertebral disc. Note the avulsed bony particle from apophyseal rim
Figure 2
Figure 2
Intervertebral disc herniation at level of L2-L3 in sagittal view
Figure 3
Figure 3
MRI (axial view) from L2-L3 inter vertebral disc
Figure 4
Figure 4
Lateral lumbosacral X-ray .Small bony particle adjust to posterior margin of L4 rim is seen
Figure 5
Figure 5
MRI(axial view) from L4-L5 inter vertebral disc

References

    1. Brown SH, Gregory DE, McGill SM. Vertebral endplate fractures as a result of high rate pressure loading in the nucleus of the young adult porcine spine. J Biomech. 2008;41(1):122–7. - PubMed
    1. Smorgick Y, Floman Y, Millgram MA, Anekstein Y, Pekarsky I, Mirovsky Y. Mid- to long-term outcome of disc excision in adolescent disc herniation. Spine J. 2006;6(4):380–4. - PubMed
    1. Krishnan A, Patel JG, Patel DA, Patel PR. Fracture of posterior margin of lumbar vertebral body. Ind J Orthop. 2005;39(1):33–8.
    1. Martinez-Lage JF, Poza M, Arcas P. Avulsed lumbar vertebral rim plate in an adolescent: trauma or malformation? Childs Nerv Syst. 1998;14(3):131–4. - PubMed
    1. Sward L, Hellstrom M, Jacobsson B, Karlsson L. Vertebral ring apophysis injury in athletes. Is the etiology different in the thoracic and lumbar spine? Am J Sports Med. 1993;21(6):841–5. - PubMed

Publication types

LinkOut - more resources