Case:Low Back Pain 002: Difference between revisions
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Tag: Rollback ย |
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=PC= | =PC= | ||
31 year old male builder referred with two months of low back pain starting after he picked up a 30kg block and twisted and felt โpopโ in his lower back causing immediate pain | 31 year old male builder referred with two months of low back pain starting after he picked up a 30kg block and twisted and felt a โpopโ in his lower back causing immediate pain | ||
[[File:ISO_pain_case_0.png|200px]] | [[File:ISO_pain_case_0.png|200px]] | ||
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*Requested F/U MRI 19/12/2019: coronal views ofย lumbar interspinous spaces | *Requested F/U MRI 19/12/2019: coronal views ofย lumbar interspinous spaces | ||
**Coronal and repeat sagittal views confirm interspinous ligament oedema at L4/5 rather than vessels. | **Coronal and repeat sagittal views confirm interspinous ligament oedema at L4/5 rather than vessels. | ||
{{Practice point|text=Learning point: | |||
Ask for a T2 fat suppressed Dixon coronal. Corroborate the coronal ISO in the sagittal plane. Have the sequence start posterior to the spines. A STIR will suffice but less resolution }} | |||
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=Management= | =Management= | ||
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There was no tenderness to palpation in his buttocks or spinous and interspinous processes today. | There was no tenderness to palpation in his buttocks or spinous and interspinous processes today. | ||
=Related Articles= | |||
*[[Interspinous Oedema]] | |||
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[[Category:Case Histories]] | [[Category:Case Histories]] |