Rugby football injuries to the cervical spine.

Carvell, Jim; Fuller, D J; Duthie, Robert B.; Cockin, J.

doi:10.1136/bmj.286.6358.49

Cited by 14 publications

(2 citation statements)

References 3 publications

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“…Athletic injuries to the cervical spine resulting in damage to the spinal cord are infrequent but catastrophic events that have been associated with water sports, 1 football, 22 rugby, 4 , 18 and other activities. However, cervical spinal cord injuries associated with sumo are rare.…”

Section: Discussionmentioning

confidence: 99%

Radiological Changes in the Cervical Spine in Freshman Collegiate Sumo Wrestlers

Nakagawa

Mukai

Minami

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Sumo has long been a traditional sport in Japan and is rapidly attracting enthusiasts abroad. Sumo wrestling entails a risk of impact to the cervical spine during an initial charge. Few reports are available in the English-language literature regarding radiological changes in the cervical spine in sumo wrestlers.Purpose:To examine radiological changes in the cervical spine in freshmen collegiate sumo wrestlers.Study Design:Case series; Level of evidence, 4.Methods:A total of 53 freshmen sumo wrestlers (age, 18-19 years) who belonged to the Japan Sumo Federation underwent routine radiographic examination of the cervical spine and completed questionnaires on cervical symptoms.Results:Of the 53 wrestlers, 81% showed loss of lordosis, 45% showed osteophyte formation (mainly at C3-C4), 11% showed disc space narrowing (mainly at C5-C6), and 51% showed narrowing of the cervical nerve root foramina (mainly at C3-C4). Fifty-one percent had some cervical symptoms. A correlation was found between deformity of the cervical bodies (such as intervertebral disc ballooning) and cervical symptoms, but no correlation was found between cervical degenerative changes and cervical symptoms.Conclusion:Our data suggest that loss of lordosis, osteophyte formation, and narrowing of the cervical nerve root foramina at C3-C4 were frequently present in freshmen wrestlers and may be due to the axial load incurred prior to their collegiate careers.

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Section: Discussionmentioning

confidence: 99%

Radiological Changes in the Cervical Spine in Freshman Collegiate Sumo Wrestlers

Nakagawa

Mukai

Minami

et al. 2017

Orthopaedic Journal of Sports Medicine

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“…Athletic injuries to the cervical spine resulting in damage to the spinal cord are infrequent but catastrophic events. Injuries resulting in cervical spinal cord damage have been associated with water sports, 1 football, 15 rugby, 2,10 and other activities. However, cervical spinal cord injuries associated with sumo are rare.…”

Section: Discussionmentioning

confidence: 99%

Cervical Spinal Cord Injury in Sumo Wrestling

et al. 2004

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Approximately 80 countries now belong to the International Sumo Federation. Thus, people from many regions of the world have the opportunity to experience the emotionally charged atmosphere of sumo. Women's sumo has also been established, and the first World Women's Sumo Championships were held in Aomori, Japan, in 2001. Thus, sumo is enjoyed and practiced by many people and has recently grown to become a worldwide sport.In recent years, increasing participation in sumo has unfortunately resulted in a higher incidence of injuries in sumo wrestling. In professional sumo wrestling in Japan, one sixth of wrestlers were recently defaulted in a championship because of their injuries. One such injury is spinal cord injury, sometimes catastrophically resulting in quadriplegia or paraplegia. In sumo, dislocations of the spine and spinal cord injuries are rare. We have witnessed, however, a case of dislocation of the lower cervical spine and cervical spinal cord injury in a sumo wrestler. We report this case, including details of how the injury occurred and the implications in relation to the rules provided by the Japan Sumo Association. CASE REPORTA 19-year-old collegiate sumo wrestler, 166 cm tall and weighing 78 kg, had been practicing sumo for 10 years. During an intercollegiate sumo championship on October 31, 1999, he competed with an opponent whose weight was 120 kg. Therefore, the sumo wrestlers in this match had a discrepancy in weight. It was his third fight of the day. From the initial charge, his opponent pushed him, and he escaped by going around the dohyo, or sumo ring. Then, they stopped in the center of the dohyo, and he got under the body of his opponent, as shown in Figure 1. Unfortunately, his position was not ideal. The back of his head was situated on the abdomen of his opponent (Figure 1). After that, his opponent forced him to step outside the dohyo by fixing the back of his head. He had fallen down near the corner of the dohyo, thereby forcing the hyperflexion of his cervical spine (Figure 2).One of the authors (YN), who was a medical doctor for the championship, examined him on the dohyo. He was conscious, his respiration was good, and the mobility of his upper extremities was normal, but his lower extremities were paralyzed. We supposed that he had motor loss below Th2. He had sensory loss below Th4. As cervical spinal cord injury was suspected, his cervical spine was fixed, a few collegiate sumo wrestlers immobilized his body, and he was carefully carried off under the dohyo on the instruction of the medical doctor and taken immediately by ambulance to a hospital.

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Unstable cervical spine injuries in rugby—a 20-year review

Williams

McKibbin

1987

Injury

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Rugby football injuries to the cervical spine.

Cited by 14 publications

References 3 publications

Radiological Changes in the Cervical Spine in Freshman Collegiate Sumo Wrestlers

Radiological Changes in the Cervical Spine in Freshman Collegiate Sumo Wrestlers

Cervical Spinal Cord Injury in Sumo Wrestling

Unstable cervical spine injuries in rugby—a 20-year review

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