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JOURNAL CLUB – CERVICAL SPINE INJURIES IN SPORT

Topic:  Cervical spine injuries
Date:  Tuesday, November 8, 2016
Time:  18:00
Presenter:  Dr. Jacqueline Corkum
Location:  Room 221 Goldring Centre

Presentation:

Articles for review:

1.  Babcock L, Olsen C, Jaffe D, Leonard J; Cervical Spine Study Group for the Pediatric Emergency Care Applied Research Network (PECARN).  Cervical Spine Injuries in Children Associated With Sports and Recreational Activities.  Pediatr Emerg Care. 2016 Sep 30. [Epub ahead of print]

2.  Prasarn M, Horodyski M, DiPaola M, DiPaola C, Del Rossi G, Conrad B, Rechtine G.  Controlled Laboratory Comparison Study of Motion With Football Equipment in a Destabilized Cervical Spine: Three Spine-Board Transfer Techniques.  Orthop J Sports Med. 2015 Sep 8;3(9):2325967115601853. doi: 10.1177/2325967115601853. eCollection 2015.

One-Pager:

Emergencies in Sports Medicine: Cervical Spine Injuries

Jacquelyn Corkum Nov 8, 2016

Overview of cervical spine injuries

  • Account for 50% of catastrophic sport injuries
  • Mechanism of injury:

– Hyperflexion/hyperextension/rotation

– Axial loading

  • Injuries

– Ligamentous

– Subluxation – due to disruption of posterior structures

– Dislocation

– Fracture (Tear drop, clay‐shoveler, compression, wedge, etc)

– Spinal cord injury

  • Predisposing factors

– Cervical spine arthritis

– Previous c‐spine surgery

– Congenital syndromes (eg. Down Syndrome)

Journal Articles:

Babcock L., Olsen C.S., Jaffe DM, Leonard JC. Cervical spine injuries in children associated with sports and recreational activities.Pediatric Emergency Care. 2016 Sep;0(0):1

  • Large multicenter retrospective case control study
  • Participants: <16yo with blunt trauma that had c-­‐spine imaging
  • Factors associated with CSI In young athletes
  • Presentation: Neck Pain & focal neurologic symptoms
  • Mechanism: Axial load
  • Activities: Football, diving, hockey

Prasarn M., Horodyski M., DiPaola M., DiPaola C., Del Rossi G., Conrad B., Rechtine G. Controlled laboratory comparison study of motion with football equipment in a destabilized cervical spine: Three spine‐board transfer techniques. Orthopedic Journal Sport Medicine.2015 Sep;3(9):1.

  • Cadaveric study
  • Measured spinal motion of cadavers with 3 different transfer to spine board techniques after cervical spine instability was created
  • Team proficient in all lifting techniques

– Eight person lift, lift and slide and log roll

  • Eight‐person lift resulted in less angular and linear displacement

compared to lift and slide and log roll

  • Lift and slide = less motion than log roll