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Sports Test 2: Diagnosis and Treatment
Spine Test 1: Trauma
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The Journal of Bone and Joint Surgery (American) 85:1553-1556 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.


Case Report

Permanent Partial Cervical Spinal Cord Injury in a Professional Football Player Who Had Only Congenital Stenosis

A Case Report

Craig D. Brigham, MD and Tim E. Adamson, MD

Investigation performed at Miller Orthopaedic Clinic, Charlotte, North Carolina

Craig D. Brigham, MD
Miller Orthopaedic Clinic, 1001 Blythe Boulevard, Suite 200, Charlotte, NC 28203. E-mail address: craig.brigham@millerclinic.com

Tim E. Adamson, MD
Carolina Neurosurgery and Spine Associates, 1010 Edgehill Road North, Charlotte, NC 28207

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


    Introduction
 
Congenital cervical stenosis appears to predispose athletes to episodes of spinal cord concussion. Torg et al. 1 referred to this temporary disruption of spinal cord function as "transient neurapraxia." They showed that the smaller the spinal canal, the greater the likelihood that an athlete would sustain repeated episodes of this phenomenon. Retrospectively, Torg et al. reported that none of seventy-seven athletes who were rendered permanently quadriplegic while playing high-school or college football had experienced previous episodes of transient spinal cord concussion, and none had congenital spinal stenosis. Conversely, they also found that none of forty-five high-school, college, and professional athletes who presented with symptoms of temporary spinal cord concussion became quadriplegic, although some athletes elected to retire from collision sports. In 2002, they summarized their findings and conclusions, stating, "Although it is controversial, we do not believe that individuals who experience uncomplicated cervical cord neurapraxia are at risk of . . . [Full Text of this Article]


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B. P. Boden, R. L. Tacchetti, R. C. Cantu, S. B. Knowles, and F. O. Mueller
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[Abstract] [Full Text] [PDF]