A 19-year-old gymnast has extension-related low back pain and suspected pars stress injury. Initial radiographs are normal, but symptoms persist and

Question

A 19-year-old gymnast has extension-related low back pain and suspected pars stress injury. Initial radiographs are normal, but symptoms persist and training decisions depend on staging. What is the most appropriate investigation?

Accepted Answer

MRI lumbar spine

Answer

Ultrasound of lumbar paraspinals

Answer

No imaging until neurological signs develop

Answer

CT as routine first-line in every adolescent

Answer

DEXA scan as the diagnostic test

Lumbar spondylolysis — Medical Practice MCQ

A 19-year-old gymnast has extension-related low back pain and suspected pars stress injury. Initial radiographs are normal, but symptoms persist and training decisions depend on staging. What is the most appropriate investigation?