Backs – Golfer’s Achilles heel?

aThe modern sport is under constant development. Currently, the children start their
organized sport at younger and younger ages. It is therefore essential that we acquire
knowledge of the particular situation of the growing man. From
orthopedic standpoint, I have studied the growing spine and particularly the damage
elite sport can bring, however, not specifically golf.


Spine kotkroppar, cabinets and adjacent ligaments develop from chords dorsalis. 
Kotbågarna built separately and “melted” together with the respective kotkropp at 3 – 6 years
age. Each kotkropp has two growth zones, one above and one below, right next to
disk (mellankotskivan). Disk anulus fibrosus attaches, in the growing, in kotkroppens
ringapofys. This ringapofys “melt” together with kotkroppen at 17 – 20 years of age. It is
Thus, only at that age that the disk has a benförankring to kotkroppen.


Herniated discs usually interpreted as a breach of the anulus fibrosus in which material from the nucleus pulposus
(disk center) in contact with a nervrot which in turn gives rise to radiating
pain (sciatica). In the growing individual is ringapofysens attachment in kotkroppen likely
significantly weaker than the anulus fibrosus. When an overload, it is common to receive
a fragile into kotkroppen, intraspongios diskherniering (Schmorl nodule) or a
apofysskada. Since a growing individual suffering from sciatica should therefore ask the radiologist to
except drive bracket also look for a relieved ringapofys.


When a disk is damaged, this leads to a change in pressure over the adjacent kotkroppars
growth zones, which in turn leads to growth retardation. One can see wedge-shaped, width increased
and flattened kotkroppar related to cabinets damaged early in life similar to those
Scheuermann described 1920th


Another famous sports-related back change is spondylolys – spondylolisthes. Spondylolys,
the most commonly noted in the 5th lumbar vertebra kotbage, interpreted by most as a resutat
Stress fracture. Spondylolys occurs in approximately 5% of the normal population. while studies
among individuals with back-emitting sports have been reported for frequencies between 20 – 50%.


Risk Moment of golf is probably the combination of lumbar lordosering linked to
the rotation of the vertebral column undergoes in the swing movement. The load on
Zygapophysial joint kotbagarna and disks can be in this situation is likely to be significant. Studies
this would obviously be of extremely great value.

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