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Treatment strategies for managing cervical spine injuries in rugby players
BACKGROUND: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained a...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827305/ https://www.ncbi.nlm.nih.gov/pubmed/33500821 http://dx.doi.org/10.25259/SNI_794_2020 |
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author | Yurac, Ratko Zamorano, Juan Jose Quinteros, Guisela Izquierdo, Guillermo Novoa, Felipe Brañes, Rocío Valencia, Manuel Silva, Alvaro Marré, Bartolomé |
author_facet | Yurac, Ratko Zamorano, Juan Jose Quinteros, Guisela Izquierdo, Guillermo Novoa, Felipe Brañes, Rocío Valencia, Manuel Silva, Alvaro Marré, Bartolomé |
author_sort | Yurac, Ratko |
collection | PubMed |
description | BACKGROUND: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained an average of 10 days later. METHODS: Seven patients sustained cervical spine fracture attributed to rugby (2009–2016) and were followed an average of 52 posttrauma months. Most injuries occurred at the C6-C7 level, and six of seven patients required surgery. Further, only two of seven patients exhibited resultant neurological deficits (e.g., one myelopathy and one radiculopathy). RESULTS: Although the rugby injury was sufficiently documented on initial X-rays in four patients, three initial X-rays missed fractures, which were documented on the CT studies obtained an average of 10 days later. CONCLUSION: Rugby-related cervical fractures must be considered where players continue to complain of pain following trauma. Notably, routine X-rays may miss fractures in 3 of 7 cases (43%), thus warranting supplemental CT examinations to definitively rule out fractures. |
format | Online Article Text |
id | pubmed-7827305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-78273052021-01-25 Treatment strategies for managing cervical spine injuries in rugby players Yurac, Ratko Zamorano, Juan Jose Quinteros, Guisela Izquierdo, Guillermo Novoa, Felipe Brañes, Rocío Valencia, Manuel Silva, Alvaro Marré, Bartolomé Surg Neurol Int Original Article BACKGROUND: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained an average of 10 days later. METHODS: Seven patients sustained cervical spine fracture attributed to rugby (2009–2016) and were followed an average of 52 posttrauma months. Most injuries occurred at the C6-C7 level, and six of seven patients required surgery. Further, only two of seven patients exhibited resultant neurological deficits (e.g., one myelopathy and one radiculopathy). RESULTS: Although the rugby injury was sufficiently documented on initial X-rays in four patients, three initial X-rays missed fractures, which were documented on the CT studies obtained an average of 10 days later. CONCLUSION: Rugby-related cervical fractures must be considered where players continue to complain of pain following trauma. Notably, routine X-rays may miss fractures in 3 of 7 cases (43%), thus warranting supplemental CT examinations to definitively rule out fractures. Scientific Scholar 2021-01-05 /pmc/articles/PMC7827305/ /pubmed/33500821 http://dx.doi.org/10.25259/SNI_794_2020 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Yurac, Ratko Zamorano, Juan Jose Quinteros, Guisela Izquierdo, Guillermo Novoa, Felipe Brañes, Rocío Valencia, Manuel Silva, Alvaro Marré, Bartolomé Treatment strategies for managing cervical spine injuries in rugby players |
title | Treatment strategies for managing cervical spine injuries in rugby players |
title_full | Treatment strategies for managing cervical spine injuries in rugby players |
title_fullStr | Treatment strategies for managing cervical spine injuries in rugby players |
title_full_unstemmed | Treatment strategies for managing cervical spine injuries in rugby players |
title_short | Treatment strategies for managing cervical spine injuries in rugby players |
title_sort | treatment strategies for managing cervical spine injuries in rugby players |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827305/ https://www.ncbi.nlm.nih.gov/pubmed/33500821 http://dx.doi.org/10.25259/SNI_794_2020 |
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