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Study Reveals Emergency On Field Treatment For Neck Injuries In Young Collision Sports Athletes No Different Than Adults
New guidelines for on-field
treatment and emergency transport of young athletes with suspected neck
injuries should recommend keeping both helmet and shoulder pads on for
initial stabilization and transport, followed by removal of both, once the
patient is in a controlled setting, according to new research released at the 2008 American Orthopaedic Society for Sports Medicine
Specialty Day at The Moscone Center.
"There was a clear hole in on-the-field guidelines in the treatment of
young (8-14 year olds) contact and collision sports athletes with possible
neck injuries," says first author and study presenter Gehron Treme, MD,
former sports medicine fellow at the University of Virginia, now with the
Center for Orthopaedics in Lake Charles, LA. "Skeletal proportions are
different in children than adults. Kids have larger heads than torsos. With
this study, we looked to see if this disproportion would result in a
different recommendation, such as removing the helmet only. Our study
found, however, just as is the case with adults, that both the helmet and
shoulder pads should be left on for initial treatment and removed as a unit
once the patient is stabilized."
Only car accidents and falls had a higher frequency of neck injuries in
kids than sports participation. Neck injuries in football, ice hockey and
lacrosse are rare, but can be catastrophic, according to Treme. Football
players represented 29 percent of the cases of children with neck injuries
from sports participation. In particular, the number of 7 - 17-year-olds
playing tackle football increased by nearly 45 percent between 1997 and
2006, according to the National Sporting Goods Association.
"Although these events are uncommon, they can be tragic," says Treme.
"The initial treatment, usually within the first 10 minutes, is critical to
how the patient will do long term. The goal, of course, is to avoid
paralysis or neurological damage."
Treme and David Diduch, MD, principle investigator, professor, and team
physcian at University of Virginia studied 31 boys from a local youth
football league between the ages of 8 and 14. X-rays were taken of each
child lying down wearing shoulder pads only, wearing helmet and shoulder
pads and wearing no equipment. Next, they measured the alignment of the
head, neck and spine to determine if the head tipped back, risking further
damage. After examining the X-rays, the study investigators determined that
there was no statistically significant difference in alignment when the
children wore no equipment compared to wearing both helmet and shoulder
pads. However, alignment changes seen with shoulder pads only were
considered unacceptable and could place the athlete at risk if the helmet
alone was removed.
"With this study, there is at least some information we can use for the
8 - 14 year old age range, in the unfortunate event of suspected neck
injuries on the field," said Treme. "The 'all or nothing' policy for adult
emergency on-field treatment is also appropriate for kids between 8 and
14."
The American Orthopaedic Society for Sports Medicine (AOSSM) is a world
leader in sports medicine education, research, communication and
fellowship, and includes national and international orthopaedic sports
medicine leaders. The Society works closely with many other sports medicine
specialists, including athletic trainers, physical therapists, family
physicians, and others to improve the identification, prevention,
treatment, and rehabilitation of sports injuries.
American Orthopaedic Society for Sports Medicine
http://www.aossm.org
Studiul relevã de urgenþã pe câmp de tratament pentru tineri la nivel cervical în coliziune sport sportivi nu diferite decât adulþii - Study Reveals Emergency On Field Treatment For Neck Injuries In Young Collision Sports Athletes No Different Than Adults - articole medicale engleza - startsanatate