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脊髓的灾难性橄榄球损伤:损伤模式的变化

Catastrophic rugby injuries of the spinal cord: changing patterns of injury.

作者信息

Scher A T

机构信息

Department of Radiology, Tygerberg Hospital, Republic of South Africa.

出版信息

Br J Sports Med. 1991 Mar;25(1):57-60. doi: 10.1136/bjsm.25.1.57.

DOI:10.1136/bjsm.25.1.57
PMID:1913034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1478801/
Abstract

In reports from the UK and New Zealand, it is noted that the incidence of rugby injuries to the cervical spinal cord has dropped and that the percentage of players injured in the tackle has similarly decreased. In contrast, this does not appear to be the pattern in South Africa and an analysis has therefore been made of 40 rugby players sustaining injuries to the spinal cord during the period 1985 to 1989. The radiological appearances on admission have been correlated with the circumstances of injury, associated orthopaedic injuries and neurological deficits. The tackle was responsible for the majority of injuries, causing more than the scrum. Tackles were also responsible for more cases of complete, permanent quadriplegia than the scrum. The commonest cause of injury in players being tackled was the high tackle around the neck, while the commonest cause of injury in players making the tackle was the dive tackle. This survey has shown that the tackle is now the major cause of spinal cord injury in South African rugby, in contrast to earlier analyses in which the scrum was identified as the most common cause.

摘要

在英国和新西兰的报告中指出,橄榄球运动中颈脊髓损伤的发生率有所下降,并且在擒抱中受伤的球员比例也同样降低。相比之下,南非似乎并非如此,因此对1985年至1989年期间40名脊髓受伤的橄榄球运动员进行了分析。入院时的放射学表现已与受伤情况、相关骨科损伤和神经功能缺损相关联。擒抱导致了大多数损伤,比争球造成的损伤更多。擒抱还比争球导致了更多例完全性、永久性四肢瘫痪。被擒抱球员受伤的最常见原因是颈部周围的高位擒抱,而进行擒抱的球员受伤的最常见原因是扑搂式擒抱。这项调查表明,与早期将争球确定为最常见原因的分析相比,擒抱现在是南非橄榄球运动中脊髓损伤的主要原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/1478801/f8e4a3b08604/brjsmed00025-0063-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/1478801/915877dc5cf1/brjsmed00025-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/1478801/f8e4a3b08604/brjsmed00025-0063-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/1478801/915877dc5cf1/brjsmed00025-0063-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd9f/1478801/f8e4a3b08604/brjsmed00025-0063-b.jpg

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