Citation

Treme G, Diduch DR, Hart J, Romness MJ, Kwon MS, Hart JM. Am. J. Sports Med. 2008; 36(8): 1582-1586.

Affiliation

University of Virginia, Department of Orthopaedic Surgery, Charlottesville, Virginia.

Copyright

(Copyright © 2008, American Orthopaedic Society for Sports Medicine, Publisher SAGE Publishing)

DOI

10.1177/0363546508315040

PMID

18354145

Abstract

BACKGROUND: Substantial literature exists regarding recommendations for the on-field treatment and subsequent transportation of adult collision-sport athletes with a suspected injury to the cervical spine. PURPOSE: To develop an evidence-based recommendation for transportation of suspected spine-injured youth football players. STUDY DESIGN: Descriptive laboratory study. METHODS: Three lateral radiographs were obtained in supine to include the occiput to the cervical thoracic junction from 31 youth football players (8-14 years). Each child was imaged while wearing helmet and shoulder pads, without equipment, and with shoulder pads only. Two independent observers measured cervical spine angulation as Cobb angle from C1 to C7 and subaxial angulation from C2 to C7. We calculated intraclass correlation coefficients for intraobserver reliability analysis and compared Cobb and C2 to C7 angles between equipment conditions with t tests. RESULTS: Interobserver analysis showed excellent reliability among measurements. Cobb and subaxial angle measurements indicated significantly greater cervical lordosis while children wore shoulder pads only, compared with the other 2 conditions (no equipment and helmet and shoulder pads) (P.05). CONCLUSIONS: Equipment removal for the youth football athlete with suspected cervical spine injury should abide by the"all or none"policy that has been widely accepted for adult athletes. Helmet and shoulder pads should be left in place during emergency transport of the suspected spine-injured youth athlete. CLINICAL RELEVANCE: Despite differences in head to torso size ratios between youth and adult players, helmet removal alone is not recommended for either during emergency transportation.

Keywords: American football;

Language: en