Classical ballet is a popular type of dance with high physical demands requiring intensive practice with eventual overuse injuries in dancers. This case report describes a 20-year-old ballet student who referred to the orthopedic clinic with severe pain on right hip and knee. The clinical and MRI examination revealed bone marrow edema syndrome. The main reason for bone marrow edema is injury in hip while performing the "rond de jambe en l’air" movement three years ago. The case stated that she felt intense pain during hip abduction while movement was realized. After 12-weeks of supportive exercises, the pain score decreased from 8 to 3 points. In the literature, there is no bone marrow edema case with the etiology of ballet movement. In this report, the importance of determining the anatomical location of the injury is emphasized so that correct exercises to support the muscles and joints of the determined anatomic structures can be planned to reduce the complaints without any steroid and surgical treatment. This study will contribute to awareness of preventing possible injuries during ballet training and to understand the importance of medical follow-up of individual development in ballet students.
Klasik bale, dansçılarda sakatlanmalarla sonuçlanan, yoğun pratik gerektiren, yüksek fiziksel talepleri olan popüler bir dans türüdür. Bu çalışma, sağ kalça ve dizinde şiddetli ağrı ile ortopedi kliniğine başvuran 20 yaşındaki bir bale öğrencisini anlatıyor. Klinik ve MRI incelemesinde kemik iliği ödemi sendromu ortaya çıkmıştır. Kemik iliği ödeminin temel nedeni, üç yıl önce "rond de jambe en l'air" hareketini yaparken kalçada meydana gelen yaralanmadır. Olgu, hareket sırasında kalça abduksiyonu sırasında yoğun ağrı hissettiğini belirtmiştir. 12 haftalık destek egzersizlerinden sonra ağrı skoru 8 puandan 3 puana düşmüştür. Literatürde bale hareketi etiyolojisine sahip kemik iliği ödemi vakası yoktur. Bu raporda, herhangi bir steroid ve cerrahi tedavi olmaksızın şikayetleri azaltmak için belirlenen anatomik yapıların kas ve eklemlerini destekleyecek doğru egzersizlerin planlanabilmesi için yaralanmanın anatomik lokasyonunun belirlenmesinin önemi vurgulanmıştır. Bu çalışmanın, bale eğitimi sırasında olası yaralanmaları önleme bilincine ve bale öğrencilerinde bireysel gelişimin tıbbi takibinin önemini anlamaya katkı sağlayacağını düşünmekteyiz.
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