Entrapment of the Medial Branch of the Superior Cluneal Nerve – a Previously Unrecognized Cause of Lower Back Pain in Cricket Fast Bowlers

Simon Speed, Kevin Sims, Patrick Weinrauch

Abstract


     Cricket fast bowlers have a high incidence of injury and are prone to back problems that can become debilitating and foreshorten their careers. We present a case of superior cluneal nerve (SCN) entrapment neuropathy as a previously unrecognized etiology of lower back pain in a professional cricket fast bowler, often misdiagnosed as a lumbar spine disorder. We believe that the SCN may be susceptible to compression related to repetitive contraction of the back musculature, in particular the Thoraco-lumbar erector spinae (TLES) and Latissimus dorsi which contribute to a fibro-osseous tunnel through which the SCN runs. The problem can be readily treated with surgical decompression and patients can expect a return to near full function. Clinicians should be aware of this diagnosis when investigating athletes for chronic lower back pain.




doi:10.4021/jmc167w


Keywords


Superior cluneal nerve entrapment; Chronic lower back pain; Iliac crest pain; Cricket fast bowlers

Full Text: HTML PDF
 
Home     |     Log In     |      About     |      Search     |      Current     |      Archives     |      Submit      |     Subscribe


 

     

Aims and Scope

Current Issues

Conflict of Interest

About Publisher

Editorial Board

Archives

Copyright

Company Profile

Editorial Office

Misconduct and Retraction

Permissions

Company Registration

Contact Us

Abstracting and Indexing

ICMJE

Ownership

Instructions to Authors

Access

Declaration of Helsinki

Contact Publisher

Submission Checklist

Reprints

Terms of Use

Company Address

Submit a Manuscript

Open Access Policy

Privacy Policy

Browse Journals

Publishing Fee

Publishing Policy

Disclaimer

Recent Highlights

Peer-Review Process

Publishing Quality

Code of Ethics

Advertising Policy

Manuscript Tracking

Advanced Search

For Librarians

Careers

Publishing Process

Publication Frequency

For Reviewers

Propose a New Journal

       
       

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

DECLARATION: THIS JOURNAL SITE OUTLOOK IS DESIGNED BY THE PUBLISHER AND COPYRIGHT PROTECTED. DO NOT COPY!