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Describe the proportion of upper lumbar bone stress injuries (LBSI; T12-L3) relative to all LBSI, and the clinical presentation and diagnosis of upper LBSI in elite cricketers. Case series. Professional domestic and international cricket teams over a 9-year period. Elite Australian cricketers. Symptomatic upper LBSI diagnosed based on clinical findings and medical imaging. Prevalence, injury history, and clinical management. Twenty-four pace bowlers (22 male and 2 female) sustained 39 cases of upper LBSI (T122, L13, L220, L314). U