Man, does anyone know about what exactly the clinical significance of spinal stress fractures is when it comes to fast bowlers?
Like, the amount of times I would even care about an undisplaced back fracture without neurological deficit and even bother with ordering even a plain x-ray in ED is kinda negligible. But these sportsmen get MRIs at the drop of a hate. In normal, every day medicine we would call that over-investigation which is actually straight up dangerous for a regular person.
I wonder to what level it applies to sports people as well?
E.g. I don't know if Shane Bond gets his back fused if he sees an orthopaedic surgeon in the public hospital system. For an every day person this is probably the right call. Not sure if it's truly different for a cricket player.
I doubt we will ever see comprehensive evidence, but
here is one I recently found. I suspect if Shane Bond was playing today he might never have had surgery. I know that the idea is that these were non-healing fractures (i.e. not the ones in this study). But what is the actual benefit of surgery here? is there a clinically significant upside?