Catastrophic Cervical Spine Injuries in Contact Sports.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620061
Title:
Catastrophic Cervical Spine Injuries in Contact Sports.
Authors:
Hutton, Mike; McGuire, R. A.; Dunn, R.; Williams, R.; Robertson, P.; Twaddle, B.; Kiely, P.; Clarke, A.; Mazda, K.; Davies, P.; Pagarigan, K. T.; Dettori, J. R.
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.
Citation:
Catastrophic Cervical Spine Injuries in Contact Sports. 2016, 6 (7):721-734 Global Spine J
Publisher:
Thieme
Journal:
Global Spine Journal
Issue Date:
Nov-2016
URI:
http://hdl.handle.net/11287/620061
DOI:
10.1055/s-0036-1586744
PubMed ID:
27781193
Additional Links:
http://www.thieme-connect.com/DOI/DOI?10.1055/s-0036-1586744
Note:
This article is freely available via Open Access. Click on the Additional link above to access the full-text via the publisher's site.
Type:
Journal Article
Language:
en
ISSN:
2192-5682
Appears in Collections:
Exeter Spinal Surgery Unit; 2016 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorHutton, Mikeen
dc.contributor.authorMcGuire, R. A.en
dc.contributor.authorDunn, R.en
dc.contributor.authorWilliams, R.en
dc.contributor.authorRobertson, P.en
dc.contributor.authorTwaddle, B.en
dc.contributor.authorKiely, P.en
dc.contributor.authorClarke, A.en
dc.contributor.authorMazda, K.en
dc.contributor.authorDavies, P.en
dc.contributor.authorPagarigan, K. T.en
dc.contributor.authorDettori, J. R.en
dc.date.accessioned2016-10-28T14:25:44Z-
dc.date.available2016-10-28T14:25:44Z-
dc.date.issued2016-11-
dc.identifier.citationCatastrophic Cervical Spine Injuries in Contact Sports. 2016, 6 (7):721-734 Global Spine Jen
dc.identifier.issn2192-5682-
dc.identifier.pmid27781193-
dc.identifier.doi10.1055/s-0036-1586744-
dc.identifier.urihttp://hdl.handle.net/11287/620061-
dc.description.abstractStudy 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.en
dc.languageENG-
dc.language.isoenen
dc.publisherThiemeen
dc.relation.urlhttp://www.thieme-connect.com/DOI/DOI?10.1055/s-0036-1586744en
dc.rightsArchived with thanks to Global Spine Journalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleCatastrophic Cervical Spine Injuries in Contact Sports.en
dc.typeJournal Articleen
dc.identifier.journalGlobal Spine Journalen
dc.description.noteThis article is freely available via Open Access. Click on the Additional link above to access the full-text via the publisher's site.en
dc.type.versionPublisheden

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