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“In all, this comparative study examined 18 asymptomatic elite male footballers attending an elite academy to assess the prevalence of lumbar spine injuries. The use of modern MRI sequences allowed us to describe common and new findings. “
A thorough understanding of common findings and their radiographic appearances is important for clinicians to ensure that missed injuries are identified promptly, when lower back pain and/or symptoms are not present. Supervised, rigorous case-series studies such as the one in this study may allow clinicians to appreciate the effect of the sport on the lumbar spine, and to proactively identify clinically significant pathologies, or critically assess whether any injuries warrant an MRI.
From a clinical perspective, MRI scanning allowed us to clearly identify two scenarios that are not possible with stringent CT protocols. Firstly, injuries to the pars were not evident on CT scanning, however, they were clearly identified by MRI. Secondly, the overall morphology of the pars from T2 and 3D VIBE sequences were changed, which is demonstrative to a significant avulsion injury of the pars.
“Overall, these data suggest that some injuries are missed by CT scanning protocols but are readily identifiable with MRI scanning. The clinical utility of this extension to the MRI scanning protocol of asymptomatic elite footballers who have greater than a quarter of a normal lumbar spine should be explored.”
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