Cervical Spinal Stenosis and Stingers in Collegiate Football Players
We evaluated the relationship of cervical spinal stenosis with the occurrence of "stingers" in collegiate football players who participated at our institution from 1987 through 1991. Preparticipation cervical spine radio graphs of 266 players were used to measure Torg ratio. Forty players...
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Veröffentlicht in: | The American journal of sports medicine 1994-03, Vol.22 (2), p.158-166 |
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Zusammenfassung: | We evaluated the relationship of cervical spinal stenosis with the occurrence of "stingers" in collegiate football players
who participated at our institution from 1987 through 1991. Preparticipation cervical spine radio graphs of 266 players were
used to measure Torg ratio. Forty players with stingers were identified: 34 had an extension-compression mechanism; 6 had
a brachial plexus stretch mechanism. Time-loss neck injuries oc curred in 31 players; the remaining 195 players were asymptomatic.
The mean Torg ratio was significantly smaller for the stinger group (P = 0.02). The Torg ratio was less than 0.8 at 1 or more
levels in 47.5% of the stinger group, 32.3% of the time-loss neck pain group, and 25.1 % of the asymptomatic group. No player
with a brachial plexus stretch mechanism had a mean Torg ratio less than 0.8, but 20.6% of the players with an extension-compression
mechanism had a mean Torg ratio less than 0.8. Players with a Torg ratio less than 0.8 had 3 times the risk of incurring stingers.
We con clude that cervical spinal stenosis increases the risk for having stingers with complicated clinical courses. |
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ISSN: | 0363-5465 1552-3365 |
DOI: | 10.1177/036354659402200202 |