The Journal of Bone and Joint Surgery

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Back Pain in an Adult
Harish S. Hosalkar, MD, Jevere Howell, BS, Michael Husson, MD, Richard D. Lackman, MD, Christian M. Ogilvie, MD*, Department of Orthopaedic Surgery, University of Pennsylvania (H.S.H., J.H., R.D.L., and C.M.O.), and Department of Pathology, Pennsylvania Hospital (M.H.), Philadelphia, Pennsylvania. E-mail address for C.M. Ogilvie: christian.ogilvie@uphs.upenn.edu
A twenty-six-year-old man presented with low-back pain of six months' duration. He reported a history of night pain that responded to aspirin and nonsteroidal anti-inflammatory medications. Physical examination showed a well-developed man with a mild paraspinal lumbar tenderness. The results of neurological examination were normal. Range of motion of the lumbar spine was moderately restricted due to pain. No neurovascular or systemic abnormalities were noted. The findings on plain radiographs were normal. Magnetic resonance imaging and computed tomographic scans were then acquired.
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