Fractures of the lumbar transverse process can occur during a sporting activity and may be more common than thought. Andrew Hamilton explains and provides some guidelines for clinicians.

Most of the reported transverse process fractures (TPFs) result from high-impact traumas, such as traffic accidents(1-4). The high-energy traumas that cause TPF fractures usually also result in complex underlying injuries(5). However, in athletes, TPFs happen in isolation, likely because of a much lower-energy mechanism of injury(6). Because of these differences, definitive diagnosis and injury management strategies gleaned from the general population may not apply to athletes

TPF injury in sport: how common?
Transverse process fractures caused by stress are likely under detected since even an acute transverse process fracture requires a high index of suspicion to be correctly identified(4,7). However, since TPFs can also occur due to repetitive loading, this underreporting may be quite significant(8).


Source: Lumbar transverse process fracture in sport: rare or underreported? – SportsInjury