Broughton Henare Renata
New Lynn Family Health Centre, 3075 Great North Road, New Lynn, Waitakere, 0640, New Zealand.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0573. Epub 2009 Apr 28.
The patient was an 18-year-old front row forward rugby player who had a history of episodic neck pain for over 2 years following playing games of rugby. The initial event of April 2005 for which the symptoms manifested was a scrum collapse; he continued playing until a front-on tackle occurred when the symptoms dictated that he leave the field and be taken to the local hospital. A diagnosis of a cervical sprain was made and conservative management ensued. During the selections held on January 2008, a medical assessment was made and an MRI found that he had a central disc herniation at C5/C6. He was referred to a spinal orthopaedic surgeon for further treatment. The risks to cervical spinal injuries are illustrated in this case, in a scrum and in the tackle. The prevention of such an injury is discussed.
该患者是一名18岁的前排橄榄球前锋，在进行橄榄球比赛后有超过2年的间歇性颈部疼痛病史。2005年4月症状首次出现的事件是一次争球倒地；他继续比赛，直到一次正面拦截发生，此时症状表明他需要离场并被送往当地医院。诊断为颈部扭伤，并采取了保守治疗。在2008年1月的选拔期间，进行了医学评估，MRI检查发现他在C5/C6水平有中央型椎间盘突出。他被转诊给脊柱骨科医生进行进一步治疗。本病例说明了在争球和拦截中颈椎损伤的风险。并对预防此类损伤进行了讨论。
