3rd lumbar transverse process hypertrophy
Introduction
Brief introduction of the third lumbar vertebrae In addition to the fifth lumbar lordosis hypertrophy and tend to patella in the clinically more common, the third lumbar vertebrae is too long and the second is more common, the disease is due to the transverse process is too long, the strain caused by the transverse process of fibrositis . basic knowledge The proportion of illness: 0.002% Susceptible people: no special people Mode of infection: non-infectious Complications: soft tissue injury
Cause
The cause of the third lumbar vertebrae
(1) Causes of the disease
Because the third lumbar transverse process is too long, the strain causes fibrosis around the transverse process and causes disease.
(two) pathogenesis
The third lumbar vertebrae, located in the middle of the 5 lumbar vertebrae, are normally longer than the other 4 nodes, so that the muscles attached to the ligaments can effectively maintain the stability and normal movement of the spine; When the contraction is pulled, the lever force will be obviously enhanced. Because the effect of the transverse process is stronger than other vertebrae, it is easy to strain and cause fibrositis around the transverse process. The longer the transverse process, the higher the incidence. One side is more common.
The lateral cutaneous nerve trunk in front of the third lumbar vertebrae passes through the deep surface and is distributed to the lateral thigh and the knee. If the transverse process is too long, too large or accompanied by fibrositis, it is easy to make The nerve branch is affected and the corresponding symptoms appear.
Prevention
Prevention of long deformity of the third lumbar vertebrae
The disease is caused by the longness of the third lumbar transverse process and the strain caused by fibrosis around the transverse process. Therefore, care should be taken to protect the waist from damage and avoid heavy lifting in life.
Other considerations include:
1. For acute injury to the waist, timely treatment;
2. Pay attention to correct bad posture;
3. The waist can be belted to support the waist;
4. If there is pain in the waist, sleep on a hard bed;
5. Keep warm and avoid fatigue.
Complication
The third lumbar vertebrae Complications, soft tissue injury
It can be complicated by fibrositis around the third lumbar transverse process, which usually causes pain in the lower back, and severe cases can be restricted in activity. Because the disease often occurs after trauma, acute lumbar sprain causes muscle and fascia soft tissue damage around the third lumbar vertebrae. If the treatment is not proper or the treatment is not timely, it can lead to soft tissue scar adhesion around the transverse process, fascia thickening. , muscle spasm, produce the corresponding symptoms.
Symptom
The third lumbar vertebrae is too long and deformed symptoms. Common symptoms . The third lumbar vertebrae...
Tender point
That is, there is obvious tenderness in the deep part of the third lumbar vertebrae, and sometimes it can be radiated to the outside of the thigh and the knee.
2. Bone prominence
That is, the third lumbar vertebrae is longer than the general, and is superficial and easy to reach.
3. Limited waist activity
The symptoms are mild, mainly when the waist is bent to the opposite side.
4. Closed test
The third lumbar vertebrae were closed with 10% 20% of procaine, which was effective.
Examine
Examination of the third lumbar vertebrae
The disease can generally be diagnosed in combination with the medical history. It can be seen that the third lumbar vertebrae has obvious tenderness at the tip of the transverse process and can touch the cord-like induration. Without special auxiliary examination, X-ray examination may find that the third lumbar vertebrae of the affected side is hypertrophied and prolonged, and the bilateral sides usually do not change symmetry.
Diagnosis
Diagnosis and diagnosis of the third lumbar vertebrae
diagnosis:
According to clinical manifestations and X-ray film can be diagnosed.
Differential diagnosis:
(1) lumbar disc herniation: in addition to low back pain accompanied by sciatica, the paroxysmal aggravation, limited straight leg elevation test, paraspinal tenderness with radiation pain of the affected limb.
(2) Lumbar spine tumor: middle-aged or higher back pain is progressively aggravated, and there is nocturnal pain. After symptomatic treatment, it can not alleviate the pain, and should be highly vigilant. If it is a spinal cord or a horsetail tumor, it may be accompanied by large, urinary incontinence, numbness in the saddle area (ie, the perineum), and lower limb paralysis.
(3) lumbar tuberculosis: low back pain with hypothermia, anemia, weight loss embolism, and increased erythrocyte sedimentation rate, the positive test of the litter test can be seen bone destruction, psoas abscess.
(4) peri-renal inflammation: low back pain with fever, increased white blood cell count, urine routine examination of white blood cells, kidney area sputum pain.
(5) Gynecological diseases: women with low back pain and periodic changes.
