Navigation Links
Emergency on-field treatment for neck injuries in young sports athletes no different than adults

SAN FRANCISCO 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 today 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.


Contact: Lisa Weisenberger
American Orthopaedic Society for Sports Medicine

Related medicine news :

1. Retired NYPD Lieutenants William E. Keegan, Jr., Owen McCaffery and John Moran and Tom Thees, a former COO in the financial industry, announce today the formation of H.E.A.R.T (Healing Emergency Aid Response Team) 911.
2. Temple Emergency Medicine receives $1.8M to find best MRSA treatment
3. Academy releases emergency preparedness tools to enable millions more people to shelter in place
4. Texas Aviation Services: Over 20 Years of Creating Flying Emergency Rooms for Airborne EMS Customers in US and Latin America
5. American Heart Association Enhances eLearning for Emergency Cardiovascular Care (ECC)
6. Giving emergency nurses aromatherapy massages with music dramatically reduced stress levels
7. Mecklenburg EMS Introduces Most-Advanced Situational Training in America for Emergency Medical Personnel
8. Giving emergency nurses aromatherapy massages with music dramatically reduced stress levels
9. Verathon Inc. Introduces GlideScope(R) Ranger Single Use Video Laryngoscope for Emergency Departments, EMS and Military; Enables Fast Intubations and Eliminates Time-Consuming Disinfection
10. Connecticut Bishops Back Down over Provision of Emergency Contraception
11. Vital Work of Emergency Nurses Honored Across the Nation During Emergency Nurses Week, October 7-13, 2007
Post Your Comments:
(Date:6/27/2016)... ... June 27, 2016 , ... ... health professionals, announced today its affiliation with Tennessee Counseling Association. This ... the network of the Tennessee Counseling Association, adding exclusive benefits and promotional offers. ...
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer ... they remain in the eye of the beholder, according to experts who offered insights ... American Journal of Managed Care. For the full issue, click here . , ...
(Date:6/26/2016)... ... ... Kasmer, a legally blind and certified personal trainer is helping to develop a weight loss ... plans to fix the two major problems leading the fitness industry today:, ... , They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... FL (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial ... Plant City Observer , brings up a new, often overlooked aspect of head lice: the ... closing for fumigation is not a common occurrence, but a necessary one in the event ...
(Date:6/25/2016)... City, Oklahoma (PRWEB) , ... June 25, 2016 ... ... helping both athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic ... the Oklahoma City area —Johnson is one of the first doctors to perform ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... Market by Type (Standard Pen Needles, Safety Pen Needles), ... (Insulin, GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) ... MarketsandMarkets, This report studies the market for the forecast ... to reach USD 2.81 Billion by 2021 from USD ...
(Date:6/23/2016)... , June 23, 2016  MedSource announced today ... its e-clinical software solution of choice.  This latest ... possible value to their clients by offering a ... preferred relationship establishes nowEDC as the EDC platform ... MedSource,s full-service clients.  "nowEDC has long been a ...
(Date:6/23/2016)... , June 23, 2016  In a startling report released today, ... their residents by lacking a comprehensive, proven plan to eliminate prescription ... definitive ranking of how states are tackling the worst drug crisis ... four states – Kentucky , New ... Vermont . Of the 28 failing states, three – ...
Breaking Medicine Technology: