Traumatic carotid and vertebral artery dissection in a professional jockey: a cautionary tale
Jockeys accept bony fractures and soft tissue injuries as occupational hazards. An average National Hunt jockey falls once in ten races with an injury rate of 4.25%. Head injury is a common cause of morbidity and the benefit of helmets is well recognized. Neck injuries are also common and usually mu...
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| Veröffentlicht in: | British journal of sports medicine 1995-06, Vol.29 (2), p.143-144 |
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| container_title | British journal of sports medicine |
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| creator | Fletcher, J Davies, P T Lewis, T Campbell, M J |
| description | Jockeys accept bony fractures and soft tissue injuries as occupational hazards. An average National Hunt jockey falls once in ten races with an injury rate of 4.25%. Head injury is a common cause of morbidity and the benefit of helmets is well recognized. Neck injuries are also common and usually musculoskeletal. Although rare, trauma to the neck arteries may go unnoticed yet have catastrophic consequences. Internal tears can allow arterial blood to dissect the layers of the arterial wall and obstruct the lumen. Severe obstruction may lead to cerebral ischaemia and infarction. An appreciation of the early clinical signs caused by this process may allow effective intervention. We report a case which illustrates these points. |
| doi_str_mv | 10.1136/bjsm.29.2.143 |
| format | Article |
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An average National Hunt jockey falls once in ten races with an injury rate of 4.25%. Head injury is a common cause of morbidity and the benefit of helmets is well recognized. Neck injuries are also common and usually musculoskeletal. Although rare, trauma to the neck arteries may go unnoticed yet have catastrophic consequences. Internal tears can allow arterial blood to dissect the layers of the arterial wall and obstruct the lumen. Severe obstruction may lead to cerebral ischaemia and infarction. An appreciation of the early clinical signs caused by this process may allow effective intervention. 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We report a case which illustrates these points.</description><subject>Adult</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Animals</subject><subject>Arterial Occlusive Diseases - etiology</subject><subject>Athletic Injuries - etiology</subject><subject>Brain Ischemia - etiology</subject><subject>Carotid Artery Diseases - etiology</subject><subject>Carotid Artery Injuries</subject><subject>Cerebral Infarction - etiology</subject><subject>Horner Syndrome - etiology</subject><subject>Horses</subject><subject>Humans</subject><subject>Male</subject><subject>Vertebral Artery - injuries</subject><issn>0306-3674</issn><issn>1473-0480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc9rFDEcxYModW09ehQGBOll1vyY_BgPgixtFUqlsHqT8E0mo5nOTLbJTLH_vVl3WauXnvLjffLykofQK4KXhDDxznRpWNJ6SZekYk_QglSSlbhS-ClaYIZFyYSsnqMXKXUYE8qxOkJHknMiBV2g7-sI8wCTt4WFGCbfFDA2xZ2LkzMR-gLyJN4XjU_J2cmHsfBjAcUmhtallNeZ6YK9cffv87aFectAPjFB707Qsxb65F7ux2P09fxsvfpUXn65-Lz6eFkaTuhUGuuqWnBu2oZRg6FtSQ4omQFmjTA1GCbbykHLHMNKAeAsubYRmHFqGGHH6MPOdzObwTXWjVPOrjfRDzmKDuD1v8rof-of4U4TxiitVTZ4uzeI4XZ2adKDT9b1PYwuzElLKQiva_ooSJSiqqpYBt_8B3Zhjvm3MiMlpVxxvrUrd5SNIaXo2kNmgvW2Xr2tV9NaU03-uL5--NADve_zr59Pk_t1kCHeaCGZ5Prq20pfXxDO10Tq88yf7ngzdI9c_Rs6tb9P</recordid><startdate>19950601</startdate><enddate>19950601</enddate><creator>Fletcher, J</creator><creator>Davies, P T</creator><creator>Lewis, T</creator><creator>Campbell, M J</creator><general>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19950601</creationdate><title>Traumatic carotid and vertebral artery dissection in a professional jockey: a cautionary tale</title><author>Fletcher, J ; 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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aneurysm, Dissecting - etiology Animals Arterial Occlusive Diseases - etiology Athletic Injuries - etiology Brain Ischemia - etiology Carotid Artery Diseases - etiology Carotid Artery Injuries Cerebral Infarction - etiology Horner Syndrome - etiology Horses Humans Male Vertebral Artery - injuries |
| title | Traumatic carotid and vertebral artery dissection in a professional jockey: a cautionary tale |
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