Catastrophic Cervical Spine Injuries in Contact Sports
Identifieur interne : 002257 ( Main/Merge ); précédent : 002256; suivant : 002258Catastrophic Cervical Spine Injuries in Contact Sports
Auteurs : Michael James Hutton ; Robert A. Mcguire ; Robert Dunn ; Richard Williams ; Peter Robertson ; Bruce Twaddle ; Patrick Kiely ; Andrew Clarke ; Keyvan Mazda ; Paul Davies ; Krystle T. Pagarigan ; Joseph R. DettoriSource :
- Global Spine Journal [ 2192-5682 ] ; 2016.
Abstract
Url:
DOI: 10.1055/s-0036-1586744
PubMed: 27781193
PubMed Central: 5077713
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Catastrophic Cervical Spine Injuries in Contact Sports</title><author><name sortKey="Hutton, Michael James" sort="Hutton, Michael James" uniqKey="Hutton M" first="Michael James" last="Hutton">Michael James Hutton</name><affiliation><nlm:aff id="AF1600073-1"><institution>Department of Spine Surgery, Princess Elisabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, United Kingdom</institution></nlm:aff></affiliation></author><author><name sortKey="Mcguire, Robert A" sort="Mcguire, Robert A" uniqKey="Mcguire R" first="Robert A." last="Mcguire">Robert A. Mcguire</name><affiliation><nlm:aff id="AF1600073-2"><institution>Department of Orthopedics, University of Mississippi Medical Center, Jackson, Mississippi, United States</institution></nlm:aff></affiliation></author><author><name sortKey="Dunn, Robert" sort="Dunn, Robert" uniqKey="Dunn R" first="Robert" last="Dunn">Robert Dunn</name><affiliation><nlm:aff id="AF1600073-3"><institution>Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa</institution></nlm:aff></affiliation></author><author><name sortKey="Williams, Richard" sort="Williams, Richard" uniqKey="Williams R" first="Richard" last="Williams">Richard Williams</name><affiliation><nlm:aff id="AF1600073-4"><institution>Department of Orthopaedics, Queensland University, Brisbane, Australia</institution></nlm:aff></affiliation></author><author><name sortKey="Robertson, Peter" sort="Robertson, Peter" uniqKey="Robertson P" first="Peter" last="Robertson">Peter Robertson</name><affiliation><nlm:aff id="AF1600073-5"><institution>Department of Orthopaedics, Auckland City Hospital, Grafton, Auckland, New Zealand</institution></nlm:aff></affiliation></author><author><name sortKey="Twaddle, Bruce" sort="Twaddle, Bruce" uniqKey="Twaddle B" first="Bruce" last="Twaddle">Bruce Twaddle</name><affiliation><nlm:aff id="AF1600073-6"><institution>Department of Orthopaedic Trauma, Auckland City Hospital, Grafton, Auckland, New Zealand</institution></nlm:aff></affiliation></author><author><name sortKey="Kiely, Patrick" sort="Kiely, Patrick" uniqKey="Kiely P" first="Patrick" last="Kiely">Patrick Kiely</name><affiliation><nlm:aff id="AF1600073-7"><institution>Sports Surgery Clinic, Dublin, Ireland</institution></nlm:aff></affiliation></author><author><name sortKey="Clarke, Andrew" sort="Clarke, Andrew" uniqKey="Clarke A" first="Andrew" last="Clarke">Andrew Clarke</name><affiliation><nlm:aff id="AF1600073-8"><institution>Department of Orthopaedics, Middlemore Hospital, Auckland, New Zealand</institution></nlm:aff></affiliation></author><author><name sortKey="Mazda, Keyvan" sort="Mazda, Keyvan" uniqKey="Mazda K" first="Keyvan" last="Mazda">Keyvan Mazda</name><affiliation><nlm:aff id="AF1600073-9"><institution>Pediatric Orthopaedic Department, Robert Debré Hospital, Paris, France</institution></nlm:aff></affiliation></author><author><name sortKey="Davies, Paul" sort="Davies, Paul" uniqKey="Davies P" first="Paul" last="Davies">Paul Davies</name><affiliation><nlm:aff id="AF1600073-10"><institution>Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom</institution></nlm:aff></affiliation></author><author><name sortKey="Pagarigan, Krystle T" sort="Pagarigan, Krystle T" uniqKey="Pagarigan K" first="Krystle T." last="Pagarigan">Krystle T. Pagarigan</name><affiliation><nlm:aff id="AF1600073-11"><institution>Spectrum Research, Inc., Tacoma, Washington, United States</institution></nlm:aff></affiliation></author><author><name sortKey="Dettori, Joseph R" sort="Dettori, Joseph R" uniqKey="Dettori J" first="Joseph R." last="Dettori">Joseph R. 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Mcguire</name><affiliation><nlm:aff id="AF1600073-2"><institution>Department of Orthopedics, University of Mississippi Medical Center, Jackson, Mississippi, United States</institution></nlm:aff></affiliation></author><author><name sortKey="Dunn, Robert" sort="Dunn, Robert" uniqKey="Dunn R" first="Robert" last="Dunn">Robert Dunn</name><affiliation><nlm:aff id="AF1600073-3"><institution>Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa</institution></nlm:aff></affiliation></author><author><name sortKey="Williams, Richard" sort="Williams, Richard" uniqKey="Williams R" first="Richard" last="Williams">Richard Williams</name><affiliation><nlm:aff id="AF1600073-4"><institution>Department of Orthopaedics, Queensland University, Brisbane, Australia</institution></nlm:aff></affiliation></author><author><name sortKey="Robertson, Peter" sort="Robertson, Peter" uniqKey="Robertson P" first="Peter" last="Robertson">Peter Robertson</name><affiliation><nlm:aff id="AF1600073-5"><institution>Department of Orthopaedics, Auckland City Hospital, Grafton, Auckland, New Zealand</institution></nlm:aff></affiliation></author><author><name sortKey="Twaddle, Bruce" sort="Twaddle, Bruce" uniqKey="Twaddle B" first="Bruce" last="Twaddle">Bruce Twaddle</name><affiliation><nlm:aff id="AF1600073-6"><institution>Department of Orthopaedic Trauma, Auckland City Hospital, Grafton, Auckland, New Zealand</institution></nlm:aff></affiliation></author><author><name sortKey="Kiely, Patrick" sort="Kiely, Patrick" uniqKey="Kiely P" first="Patrick" last="Kiely">Patrick Kiely</name><affiliation><nlm:aff id="AF1600073-7"><institution>Sports Surgery Clinic, Dublin, Ireland</institution></nlm:aff></affiliation></author><author><name sortKey="Clarke, Andrew" sort="Clarke, Andrew" uniqKey="Clarke A" first="Andrew" last="Clarke">Andrew Clarke</name><affiliation><nlm:aff id="AF1600073-8"><institution>Department of Orthopaedics, Middlemore Hospital, Auckland, New Zealand</institution></nlm:aff></affiliation></author><author><name sortKey="Mazda, Keyvan" sort="Mazda, Keyvan" uniqKey="Mazda K" first="Keyvan" last="Mazda">Keyvan Mazda</name><affiliation><nlm:aff id="AF1600073-9"><institution>Pediatric Orthopaedic Department, Robert Debré Hospital, Paris, France</institution></nlm:aff></affiliation></author><author><name sortKey="Davies, Paul" sort="Davies, Paul" uniqKey="Davies P" first="Paul" last="Davies">Paul Davies</name><affiliation><nlm:aff id="AF1600073-10"><institution>Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom</institution></nlm:aff></affiliation></author><author><name sortKey="Pagarigan, Krystle T" sort="Pagarigan, Krystle T" uniqKey="Pagarigan K" first="Krystle T." last="Pagarigan">Krystle T. Pagarigan</name><affiliation><nlm:aff id="AF1600073-11"><institution>Spectrum Research, Inc., Tacoma, Washington, United States</institution></nlm:aff></affiliation></author><author><name sortKey="Dettori, Joseph R" sort="Dettori, Joseph R" uniqKey="Dettori J" first="Joseph R." last="Dettori">Joseph R. Dettori</name><affiliation><nlm:aff id="AF1600073-11"><institution>Spectrum Research, Inc., Tacoma, Washington, United States</institution></nlm:aff></affiliation></author></analytic><series><title level="j">Global Spine Journal</title><idno type="ISSN">2192-5682</idno><idno type="eISSN">2192-5690</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Study Design</bold> Systematic review.</p><p><bold>Objectives</bold> To determine the incidence of catastrophic cervical spine injuries (CCSIs) among elite athletes participating in contact team sports and whether the incidence varies depending on the use of protective gear or by player position.</p><p><bold>Methods</bold> Electronic databases and reference lists of key articles published from January 1, 2000, to January 29, 2016, were searched.</p><p><bold>Results</bold> Fourteen studies were included that reported CCSI in rugby (<italic>n</italic> = 10), American football (<italic>n</italic> = 3), and Irish hurling (<italic>n</italic> = 1). Among Rugby Union players, incidence of CCSI was 4.1 per 100,000 player-hours. Among National Football League players, the CCSI rate was 0.6 per 100,000 player-exposures. At the collegiate level, the CCSI rate ranged from 1.1 to 4.7 per 100,000 player-years. Mixed populations of elite and recreational rugby players in four studies report a CCSI rate of 1.4 to 7.2 per 100,000 player-years. In this same population, the scrum accounted for 30 to 51% of total reported CCSIs in Rugby Union versus 0 to 4% in Rugby League. The tackle accounted for 29 to 39% of injuries in Rugby Union and 78 to 100% of injuries in Rugby League. Making a tackle was responsible for 29 to 80% of injuries in American football.</p><p><bold>Conclusion</bold> CCSIs are infrequent among elite athletes. There is insufficient evidence to determine the effect of protective gear (e.g., helmets, padding) on CCSI incidence. 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