Transient quadriparesis in the athlete

被引:12
作者
Allen, CR
Kang, JD
机构
[1] Univ Pittsburgh, Med Ctr, Dept Orthopaed Surg, Div Spine Surg, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Med Ctr, Dept Orthopaed Surg, Div Sports Med, Pittsburgh, PA 15213 USA
关键词
D O I
10.1016/S0278-5919(03)00054-1
中图分类号
G8 [体育];
学科分类号
04 [教育学]; 0403 [体育学];
摘要
Transient quadriparesis is a rare cervical spine injury caused by axial loading of the neck in extension or flexion. Transient quadriparesis is associated with sensory or motor functional changes or a combined sensorimotor deficit. The athlete may complain of total body numbness and moderate to severe weakness in all four extremities. The episodes, by definition, are not permanent, and complete sensory and motor recovery occurs in 10 minutes to 48 hours. In all cases of the above phenomenon, radiographs are negative for fractures and dislocations but frequently demonstrate evidence of congenital spinal stenosis, acquired stenosis, cervical instability, or congenital abnormalities such as Klippel-Feil syndrome. A considerable amount of controversy exists regarding return-to-play criteria and the risk for more severe injury after an athlete experiences an episode of transient quadriparesis.
引用
收藏
页码:15 / +
页数:15
相关论文
共 31 条
[1]
MANAGEMENT OF ATHLETIC INJURIES OF THE CERVICAL-SPINE AND SPINAL-CORD [J].
BAILES, JE ;
HADLEY, MN ;
QUIGLEY, MR ;
SONNTAG, VKH ;
CERULLO, LJ .
NEUROSURGERY, 1991, 29 (04) :491-497
[2]
Guidelines for return to contact or collision sport after a cervical spine injury [J].
Cantu, RC ;
Bailes, JE ;
Wilberger, JE .
CLINICS IN SPORTS MEDICINE, 1998, 17 (01) :137-+
[3]
Cantu RC, 1997, MED SCI SPORT EXER, V29, pS233
[4]
CERVICAL SAGITTAL SPINAL-CANAL SIZE IN SPINE INJURY [J].
EISMONT, FJ ;
CLIFFORD, S ;
GOLDBERG, M ;
GREEN, B .
SPINE, 1984, 9 (07) :663-666
[5]
ENGLE CA, 1995, OP TECHNIQUES ORTHOP, V5, P218
[6]
NORMAL CERVICAL-SPINE MORPHOMETRY AND CERVICAL SPINAL STENOSIS IN ASYMPTOMATIC PROFESSIONAL FOOTBALL PLAYERS - PLAIN FILM RADIOGRAPHY, MULTIPLANAR COMPUTED-TOMOGRAPHY, AND MAGNETIC-RESONANCE-IMAGING [J].
HERZOG, RJ ;
WIENS, JJ ;
DILLINGHAM, MF ;
SONTAG, MJ .
SPINE, 1991, 16 (06) :S178-S186
[7]
SAGITTAL MEASUREMENTS OF THE CERVICAL-SPINE IN SUBAXIAL FRACTURES AND DISLOCATIONS - AN ANALYSIS OF 288 PATIENTS WITH AND WITHOUT NEUROLOGICAL DEFICITS [J].
KANG, JD ;
FIGGIE, MP ;
BOHLMAN, HH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (11) :1617-1628
[8]
Kline DG, 1990, NEUROLOGICAL SURG, P2423
[9]
CONGENITAL CERVICAL STENOSIS PRESENTING AS TRANSIENT QUADRIPLEGIA IN ATHLETES - REPORT OF 2 CASES [J].
LADD, AL ;
SCRANTON, PE .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (09) :1371-1374
[10]
Athletes with cervical spine injury [J].
Maroon, JC ;
Bailes, JE .
SPINE, 1996, 21 (19) :2294-2299