supraspinous ligament injury
Introduction
Introduction to the injury of supraspinous ligament From the occipital trochanter to the waist, there are spine ligaments connected behind the spinous processes, and the fibers are long. Generally speaking, it is a thick ligament, which plays an important role in the stability of the occipital neck; in the thoracic segment, the supraspinous ligament is weak; while the supraspinous ligament at the waist is also strong, but often lacking at the waist 5~1 If it is weak, it may cause damage to the interspinous ligament in the deep part. basic knowledge Sickness ratio: 0.05% Susceptible people: no special people Mode of infection: non-infectious Complications: interspinous ligament injury
Cause
Causes of supraspinous ligament injury
(1) Causes of the disease
More caused by violence that suddenly caused the spine to flex forward.
(two) pathogenesis
It is caused by the violence that suddenly causes the spine to flex forward. Therefore, it occurs in heavy physical labor or on a fierce sports field. When the fracture occurs, the patient can consciously have a sudden sound, and the waist seems to be "broken" and loses support. Occurs in the lower back, and severe cases are often damaged at the same time as the interspinous ligament.
Prevention
Spinal ligament injury prevention
Prevent violent injuries.
Complication
Spinal ligament injury complications Complications interspinous ligament injury
Can be complicated by interspinous ligament injury.
Symptom
Symptoms of supraspinous ligament injury Common symptoms Ligament rupture severe pain
Pain
There are many severe pains in the local area of the fracture. In particular, the pain is more severe when the front is flexed, and the pain can be alleviated when the back is raised. Therefore, the patient likes to take a posture of "satisfying the abdomen".
2. Limited activity
Lumbar activity is significantly limited, especially in the case of lateral flexion and rotation limitation.
3. tenderness
There is obvious tenderness at the interspinous ligament of the fracture; when the patient is thin, if there is a gap between the fractures, the depression may be felt.
Examine
Examination of supraspinous ligament injury
X-ray film
No special seeing.
2. Magnetic resonance
The location and extent of ligament rupture can be clearly displayed.
Diagnosis
Diagnosis and diagnosis of supraspinous ligament injury
1. History of trauma: more damage than in the flexion state.
2. Clinical features: See clinical manifestations.
3. Closure test: After the pain point was blocked with 1% procaine 5-10 ml, the above symptoms disappeared rapidly (but recurred after the effective period of anesthesia).
4. X-ray film: no special see.
5. Magnetic resonance: The location and extent of ligament rupture can be clearly displayed.
