The cervical spine of professional front-row rugby players: correlation between degenerative changes and symptoms.

Abstract:

BACKGROUND:Injuries to the cervical spine (C-spine) are among the most serious in rugby and are well documented. Front-row players are particularly at risk due to repetitive high-intensity collisions in the scrum. AIM:This study evaluates degenerative changes of the C-spine and associated symptomatology in front-row rugby players. MATERIALS AND METHODS:C-spine radiographs from 14 professional rugby players and controls were compared. Players averaged 23 years of playing competitive rugby. Two consultant radiologists performed a blind review of radiographs evaluating degeneration of disc spaces and apophyseal joints. Clinical status was assessed using a modified AAOS/NASS/COSS cervical spine outcomes questionnaire. RESULTS:Front-row rugby players exhibited significant radiographic evidence of C-spine degenerative changes compared to the non-rugby playing controls (P < 0.005). Despite these findings the rugby players did not exhibit increased symptoms. CONCLUSION:This highlights the radiologic degenerative changes of the C-spine of front-row rugby players. However, these changes do not manifest themselves clinically or affect activities of daily living.

journal_name

Ir J Med Sci

authors

Hogan BA,Hogan NA,Vos PM,Eustace SJ,Kenny PJ

doi

10.1007/s11845-009-0432-3

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

259-63

issue

2

eissn

0021-1265

issn

1863-4362

journal_volume

179

pub_type

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