Catastrophic Cervical Spine Injuries in Contact Sports.
Identifieur interne : 002221 ( PubMed/Checkpoint ); précédent : 002220; suivant : 002222Catastrophic Cervical Spine Injuries in Contact Sports.
Auteurs : Michael James Hutton [Royaume-Uni] ; Robert A. Mcguire [États-Unis] ; Robert Dunn [Afrique du Sud] ; Richard Williams [Australie] ; Peter Robertson [Nouvelle-Zélande] ; Bruce Twaddle [Nouvelle-Zélande] ; Patrick Kiely [Irlande (pays)] ; Andrew Clarke [Nouvelle-Zélande] ; Keyvan Mazda [France] ; Paul Davies [Royaume-Uni] ; Krystle T. Pagarigan [États-Unis] ; Joseph R. Dettori [États-Unis]Source :
- Global spine journal [ 2192-5682 ] ; 2016.
Abstract
Study Design Systematic review. Objectives 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. Methods Electronic databases and reference lists of key articles published from January 1, 2000, to January 29, 2016, were searched. Results Fourteen studies were included that reported CCSI in rugby (n = 10), American football (n = 3), and Irish hurling (n = 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. Conclusion CCSIs are infrequent among elite athletes. There is insufficient evidence to determine the effect of protective gear (e.g., helmets, padding) on CCSI incidence. Scrum and tackle in rugby and tackling in American football account for the majority of CCSIs in each respective sport.
DOI: 10.1055/s-0036-1586744
PubMed: 27781193
Affiliations:
- Afrique du Sud, Australie, France, Irlande (pays), Nouvelle-Zélande, Royaume-Uni, États-Unis
- Washington (État), État du Mississippi, Île-de-France
- Paris
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:27781193Le document en format XML
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Mcguire</name><affiliation wicri:level="2"><nlm:affiliation>Department of Orthopedics, University of Mississippi Medical Center, Jackson, Mississippi, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Orthopedics, University of Mississippi Medical Center, Jackson, Mississippi</wicri:regionArea><placeName><region type="state">État du Mississippi</region></placeName></affiliation></author><author><name sortKey="Dunn, Robert" sort="Dunn, Robert" uniqKey="Dunn R" first="Robert" last="Dunn">Robert Dunn</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Orthopaedic Surgery, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Williams, Richard" sort="Williams, Richard" uniqKey="Williams R" first="Richard" last="Williams">Richard Williams</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Queensland University, Brisbane, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Orthopaedics, Queensland University, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Robertson, Peter" sort="Robertson, Peter" uniqKey="Robertson P" first="Peter" last="Robertson">Peter Robertson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Auckland City Hospital, Grafton, Auckland, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Orthopaedics, Auckland City Hospital, Grafton, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Twaddle, Bruce" sort="Twaddle, Bruce" uniqKey="Twaddle B" first="Bruce" last="Twaddle">Bruce Twaddle</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Trauma, Auckland City Hospital, Grafton, Auckland, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Orthopaedic Trauma, Auckland City Hospital, Grafton, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Kiely, Patrick" sort="Kiely, Patrick" uniqKey="Kiely P" first="Patrick" last="Kiely">Patrick Kiely</name><affiliation wicri:level="1"><nlm:affiliation>Sports Surgery Clinic, Dublin, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Sports Surgery Clinic, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Clarke, Andrew" sort="Clarke, Andrew" uniqKey="Clarke A" first="Andrew" last="Clarke">Andrew Clarke</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedics, Middlemore Hospital, Auckland, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Orthopaedics, Middlemore Hospital, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Mazda, Keyvan" sort="Mazda, Keyvan" uniqKey="Mazda K" first="Keyvan" last="Mazda">Keyvan Mazda</name><affiliation wicri:level="3"><nlm:affiliation>Pediatric Orthopaedic Department, Robert Debré Hospital, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pediatric Orthopaedic Department, Robert Debré Hospital, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Davies, Paul" sort="Davies, Paul" uniqKey="Davies P" first="Paul" last="Davies">Paul Davies</name><affiliation wicri:level="1"><nlm:affiliation>Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff</wicri:regionArea><wicri:noRegion>Cardiff</wicri:noRegion></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 wicri:level="2"><nlm:affiliation>Spectrum Research, Inc., Tacoma, Washington, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Spectrum Research, Inc., Tacoma, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region></placeName></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 wicri:level="2"><nlm:affiliation>Spectrum Research, Inc., Tacoma, Washington, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Spectrum Research, Inc., Tacoma, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region></placeName></affiliation></author></analytic><series><title level="j">Global spine journal</title><idno type="ISSN">2192-5682</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Study Design Systematic review. Objectives 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. Methods Electronic databases and reference lists of key articles published from January 1, 2000, to January 29, 2016, were searched. Results Fourteen studies were included that reported CCSI in rugby (n = 10), American football (n = 3), and Irish hurling (n = 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. Conclusion CCSIs are infrequent among elite athletes. There is insufficient evidence to determine the effect of protective gear (e.g., helmets, padding) on CCSI incidence. Scrum and tackle in rugby and tackling in American football account for the majority of CCSIs in each respective sport.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27781193</PMID><DateCreated><Year>2016</Year><Month>10</Month><Day>26</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2192-5682</ISSN><JournalIssue CitedMedium="Print"><Volume>6</Volume><Issue>7</Issue><PubDate><Year>2016</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Global spine journal</Title><ISOAbbreviation>Global Spine J</ISOAbbreviation></Journal><ArticleTitle>Catastrophic Cervical Spine Injuries in Contact Sports.</ArticleTitle><Pagination><MedlinePgn>721-734</MedlinePgn></Pagination><Abstract><AbstractText>Study Design Systematic review. Objectives 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. Methods Electronic databases and reference lists of key articles published from January 1, 2000, to January 29, 2016, were searched. Results Fourteen studies were included that reported CCSI in rugby (n = 10), American football (n = 3), and Irish hurling (n = 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. Conclusion CCSIs are infrequent among elite athletes. There is insufficient evidence to determine the effect of protective gear (e.g., helmets, padding) on CCSI incidence. Scrum and tackle in rugby and tackling in American football account for the majority of CCSIs in each respective sport.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hutton</LastName><ForeName>Michael James</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Department of Spine Surgery, Princess Elisabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McGuire</LastName><ForeName>Robert A</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Department of Orthopedics, University of Mississippi Medical Center, Jackson, Mississippi, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dunn</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, University of Cape Town, Cape Town, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Queensland University, Brisbane, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Robertson</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Auckland City Hospital, Grafton, Auckland, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Twaddle</LastName><ForeName>Bruce</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Trauma, Auckland City Hospital, Grafton, Auckland, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kiely</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Sports Surgery Clinic, Dublin, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Clarke</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Orthopaedics, Middlemore Hospital, Auckland, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazda</LastName><ForeName>Keyvan</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Pediatric Orthopaedic Department, Robert Debré Hospital, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davies</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pagarigan</LastName><ForeName>Krystle T</ForeName><Initials>KT</Initials><AffiliationInfo><Affiliation>Spectrum Research, Inc., Tacoma, Washington, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dettori</LastName><ForeName>Joseph R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Spectrum Research, Inc., Tacoma, Washington, United States.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Global Spine J</MedlineTA><NlmUniqueID>101596156</NlmUniqueID><ISSNLinking>2192-5682</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Br J Sports Med. 2012 Feb;46(2):138-42</RefSource><PMID Version="1">20961917</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Sports Med. 2005 Nov;39(11):812-7</RefSource><PMID 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Aug;40(8):1755-61</RefSource><PMID Version="1">22647737</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurosurgery. 2000 Sep;47(3):673-5; discussion 675-7</RefSource><PMID Version="1">10981755</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Spinal Cord. 2015 Feb;53(2):155-65</RefSource><PMID Version="1">25420492</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Sports Med. 2002 Aug;36(4):265-9; discussion 269</RefSource><PMID Version="1">12145116</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Sports Med. 2008 Jun;42(6):452-9</RefSource><PMID Version="1">18539659</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Exerc Sport Sci Rev. 1991;19:261-312</RefSource><PMID Version="1">1936087</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Sports Med. 2005 Oct;39(10):767-75</RefSource><PMID Version="1">16183775</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Sports Med. 2006 Aug;34(8):1223-32</RefSource><PMID Version="1">16816152</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">American football</Keyword><Keyword MajorTopicYN="N">cervical spinal cord injury</Keyword><Keyword MajorTopicYN="N">contact sport</Keyword><Keyword MajorTopicYN="N">hurling</Keyword><Keyword MajorTopicYN="N">quadriplegia</Keyword><Keyword MajorTopicYN="N">rugby</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>04</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>10</Month><Day>27</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>10</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27781193</ArticleId><ArticleId IdType="doi">10.1055/s-0036-1586744</ArticleId><ArticleId IdType="pii">1600073</ArticleId><ArticleId IdType="pmc">PMC5077713</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Australie</li><li>France</li><li>Irlande (pays)</li><li>Nouvelle-Zélande</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Washington (État)</li><li>État du Mississippi</li><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Hutton, Michael James" sort="Hutton, Michael James" uniqKey="Hutton M" first="Michael James" last="Hutton">Michael James Hutton</name></noRegion><name sortKey="Davies, Paul" sort="Davies, Paul" uniqKey="Davies P" first="Paul" last="Davies">Paul Davies</name></country><country name="États-Unis"><region name="État du Mississippi"><name sortKey="Mcguire, Robert A" sort="Mcguire, Robert A" uniqKey="Mcguire R" first="Robert A" last="Mcguire">Robert A. Mcguire</name></region><name sortKey="Dettori, Joseph R" sort="Dettori, Joseph R" uniqKey="Dettori J" first="Joseph R" last="Dettori">Joseph R. Dettori</name><name sortKey="Pagarigan, Krystle T" sort="Pagarigan, Krystle T" uniqKey="Pagarigan K" first="Krystle T" last="Pagarigan">Krystle T. Pagarigan</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Dunn, Robert" sort="Dunn, Robert" uniqKey="Dunn R" first="Robert" last="Dunn">Robert Dunn</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Williams, Richard" sort="Williams, Richard" uniqKey="Williams R" first="Richard" last="Williams">Richard Williams</name></noRegion></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Robertson, Peter" sort="Robertson, Peter" uniqKey="Robertson P" first="Peter" last="Robertson">Peter Robertson</name></noRegion><name sortKey="Clarke, Andrew" sort="Clarke, Andrew" uniqKey="Clarke A" first="Andrew" last="Clarke">Andrew Clarke</name><name sortKey="Twaddle, Bruce" sort="Twaddle, Bruce" uniqKey="Twaddle B" first="Bruce" last="Twaddle">Bruce Twaddle</name></country><country name="Irlande (pays)"><noRegion><name sortKey="Kiely, Patrick" sort="Kiely, Patrick" uniqKey="Kiely P" first="Patrick" last="Kiely">Patrick Kiely</name></noRegion></country><country name="France"><region name="Île-de-France"><name sortKey="Mazda, Keyvan" sort="Mazda, Keyvan" uniqKey="Mazda K" first="Keyvan" last="Mazda">Keyvan Mazda</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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