tailieunhanh - Chấn thương cột sống cổ tử cung

Chấn thương cột sống cổ tử cung có Been Ước tính xảy ra trong 10% đến 15% của các cầu thủ bóng đá, nhất là trong linemen Thông thường, kết thúc phòng thủ, và linebackers. Đại đa số chấn thương như vậy là tự giới hạn, và hồi phục hoàn toàn có thể được dự kiến. | Cervical Spine Injuries in Football Players Bruce E. Thomas MD Geoffrey M. McCullen MD and Hansen A. Yuan MD Abstract Cervical spine injuries have been estimated to occur in 10 to 15 of football players most commonly in linemen defensive ends and linebackers. The overwhelming majority of such injuries are self-limited and full recovery can be expected. However the presenting symptoms of serious cervical spine injuries may closely resemble those of minor injuries. The orthopaedic surgeon frequently must make a judgment on the field or later in the office about the advisability of returning the athlete to the game. These decisions can have an enormous impact on the player and his family. Most severe cervical spine injuries share the common mechanism of application of an axial load to the straightened spine. Avoiding techniques that employ head-down spear tackling and wearing properly fitted equipment markedly reduce the risk of serious injury. J Am Acad Orthop Surg 1999 7 338-347 More than million individuals participate annually in high school football. Another approximately 200 000 individuals engage in college and professional play each It has been estimated that cervical spine injuries occur in 10 to 15 of football players most commonly in linemen defensive ends and Injuries may involve structural elements of the spine bones disks ligaments and or neural elements brachial plexus nerve roots spinal cord . The overwhelming majority of such injuries are self-limited and full recovery can be However in one study 50 of college freshman football players with a history of previous Òneck injuryÓ demonstrated radiographic changes including compression fractures neural arch fractures and abnormal motion In a National Collegiate Athletic Association NCAA study of football-related injuries incurred between 1977 and 1989 128 players suffered perma nent spinal cord Vigilance is required to detect those injury patterns .