Treatment strategies for managing cervical spine injuries in rugby players
| Autor: | Alvaro Silva, Ratko Yurac, Juan J. Zamorano, Manuel Valencia, Guisela Quinteros, Rocío Brañes, Bartolomé Marré, Felipe Novoa, Guillermo Izquierdo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cervical fracture business.industry Return to sport medicine.disease Cervical spine Surgery 03 medical and health sciences Cervical spine fracture Myelopathy 0302 clinical medicine 030220 oncology & carcinogenesis Medicine Ct technique Treatment strategy Original Article Cervical spine injuries Neurology (clinical) business 030217 neurology & neurosurgery Tackles injuries Rugby players |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2229-5097 |
| Popis: | Background: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained an average of 10 days later. Methods: Seven patients sustained cervical spine fracture attributed to rugby (2009–2016) and were followed an average of 52 posttrauma months. Most injuries occurred at the C6-C7 level, and six of seven patients required surgery. Further, only two of seven patients exhibited resultant neurological deficits (e.g., one myelopathy and one radiculopathy). Results: Although the rugby injury was sufficiently documented on initial X-rays in four patients, three initial X-rays missed fractures, which were documented on the CT studies obtained an average of 10 days later. Conclusion: Rugby-related cervical fractures must be considered where players continue to complain of pain following trauma. Notably, routine X-rays may miss fractures in 3 of 7 cases (43%), thus warranting supplemental CT examinations to definitively rule out fractures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|