Abstract
The bony cervical spine and spinal cord are stabilized and further supported by groups of ligaments and muscles. These ligaments and muscles are susceptible to sport-related injury, and there are several anatomic and radiographic characteristics of the pediatric cervical spine that can make evaluation difficult. Ligamentous injuries can be difficult to detect as they are not always obvious on initial radiographic views of the cervical spine; thus, a high clinical suspicion must be maintained. Ligamentous injuries to the cervical spine include cervical vertebral subluxation, acute atlantoaxial instability, atlantoaxial rotary subluxation, and spinal cord injury without radiographic abnormality. Muscular injury to the cervical spine is often a diagnosis of exclusion after imaging modalities have confirmed to evidence of bony or ligamentous injury. Muscular injuries to the cervical spine include cervical strain or sprain and whiplash.
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References
Yard EE, Collins CL, Comstock RD. A comparison of high school sports injury surveillance data reporting by certified athletic trainers and coaches. J Athl Train. 2009;44(6):645–52.
Proctor MR, Cantu RC. Head and neck injuries in young athletes. Clin Sports Med. 2000;19(4):693–715.
Mo T. The neck and upper limb. Stamford: Appleton and Lange; 1997.
Banerjee R, Palumbo MA, Fadale PD. Catastrophic cervical spine injuries in the collision sport athlete, Part 1: epidemiology, functional anatomy, and diagnosis. Am J Sports Med. 2004;32(4):1077–87.
Jagannathan J, Dumont AS, Prevedello DM, Shaffrey CI, Jane Jr JA. Cervical spine injuries in pediatric athletes: mechanisms and management. Neurosurg Focus. 2006;21(4):E6.
Cantu RC. Head and spine injuries in youth sports. Clin Sports Med. 1995;14(3):517–32.
Nigrovic LE, Rogers AJ, Adelgais KM, Olsen CS, Leonard JR, Jaffe DM, et al. Utility of plain radiographs in detecting traumatic injuries of the cervical spine in children. Pediatr Emerg Care. 2012;28(5):426–32.
DeLee JC, Drez D, editors. DeLee and Drez’s orthopaedic sports medicine: principles and practice. 3rd ed. St. Louis: WB Saunders; 2009.
Herman MJ. Cervical spine injuries in the pediatric and adolescent athlete. Instr Course Lect. 2006;55:641–6.
Mortazavi M, Gore PA, Chang S, Tubbs RS, Theodore N. Pediatric cervical spine injuries: a comprehensive review. Childs Nerv Syst. 2011;27(5):705–17.
Ralston ME, Chung K, Barnes PD, Emans JB, Schutzman SA. Role of flexion-extension radiographs in blunt pediatric cervical spine injury. Acad Emerg Med. 2001;8(3):237–45.
Wheeless C. Atlantoaxial subluxation. Durham: Duke University; 2011.
Pizzutillo PD. Spinal considerations in the young athlete. Instr Course Lect. 1993;42:463–72.
Pang D, Pollack IF. Spinal cord injury without radiographic abnormality in children—the SCIWORA syndrome. J Trauma. 1989;29(5):654–64.
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Dorney, K., Mannix, R. (2016). Muscular and Ligamentous Cervical Spine Injuries. In: O'Brien, M., Meehan III, W. (eds) Head and Neck Injuries in Young Athletes. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-23549-3_9
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DOI: https://doi.org/10.1007/978-3-319-23549-3_9
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