Abstract:
BACKGROUND:Severe cervical spine injury in rugby union (rugby) exerts a major impact on the individual who sustains the injury and on the broader society. Since the late 1970s, authors of rugby case report studies have postulated that the underlying mechanism of cervical spine injury is hyperflexion of the neck. However, this is in conflict with findings from more recent experimental studies. These have shown that it is more likely that the majority of cervical spine injuries occur due to buckling of the cervical spinal column. OBJECTIVE:To investigate the primary mechanism of cervical spine injury in rugby. METHODS:A comprehensive and systematic review of the literature was undertaken. Six key factors were identified and subsequently used to investigate the two principally postulated mechanisms of cervical spine injury: hyperflexion and buckling. RESULTS:Facet dislocations, in particular bilateral facet dislocations, were identified as the most common types of cervical spine injury in rugby. Trauma occurred most often at lower cervical spinal levels, notably the C4/5 and C5/6 motion segments. Experimental studies demonstrate that bilateral facet dislocations occurring at the lower cervical spinal levels are primarily produced via buckling. CONCLUSION:Our analysis of key factors for cervical spine injury in rugby shows that it is unlikely that the majority of injuries occur after hyperflexion of the neck. It appears more likely that they are the result of buckling of the cervical spinal column.
journal_name
Br J Sports Medjournal_title
British journal of sports medicineauthors
Kuster D,Gibson A,Abboud R,Drew Tdoi
10.1136/bjsports-2011-090360subject
Has Abstractpub_date
2012-06-01 00:00:00pages
550-4issue
8eissn
0306-3674issn
1473-0480pii
bjsports-2011-090360journal_volume
46pub_type
杂志文章,评审abstract:OBJECTIVES:We investigated medical staff interpretations and descriptions of internal communication quality in elite football teams to determine whether internal communication was correlated with injuries and/or player availability at training and matches. METHODS:Medical staff from 36 elite football clubs across 17 E...
journal_title:British journal of sports medicine
pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章,meta分析,评审
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