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KMID : 0950120120110010066
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Jouranl of Korean Orthopaedic Sports Medicine
2012 Volume.11 No. 1 p.66 ~ p.68
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Adolescent Lumbar Disc Herniation Misdiagnosed As Knee Injury
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Lim Jea-Woo
Lee Tae-Jin
Chung Hyun-Soo
Kim Hak-Sun
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Abstract
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Lumbar disc herniation in the adolescent is rare. The clinical features of adolescent lumbar disc herniation
are typically different from those of adults. Many adolescent with that disease may be misdiagnosed as
minor trauma, muscle sprain, tight hamstrings or scoliosis. Published series reiterate that adolescents, as
opposed to adults, do not respond well to conservative treatment. In adolescent lumbar disc herniation
with hamstring tightness, the neurologic defects are improved shortly after, discectomy, but the hamstring
tightness continue and remain even after 1 year. Earlier discectomy and adjunct postsurgical conservative
measures can provide a greater opportunity for correction and stabilization of scoliotic posture. We here
report on a case of adolescent lumbar disc herniation that was misdiagnosed by knee injury during 2
years. After posterior partial discectomy, the hamstring tightness and scoliosis was disappeared without
complication.
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KEYWORD
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Lumbar disc herniation, Adolescent, Hamstring tightness, Scoliosis, Discectomy
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