Sports medicine

Question 1

Spear tackler’s spine characteristics

Answer 1

Loss of cervical lordosis, cervical stenosis, arthritic changes

Question 2

Stinger/burner symptoms

Answer 2

Stinging/burning/electric shock sensation, arm numbness/tingling, “dead arm”

Question 3

Stinger/burner most common spinal level affected? which muscles does that serve?

Answer 3

C5. Deltoid, biceps, supraspinatus, infraspinatus

Question 4

C-spine fracture/dislocation mechanism

Answer 4

Axial load is most common

Question 5

C-spine fracture/dislocation: most common spinal levels?

Answer 5

C5/C6 is most common. C4/C5 and C6/C7 are next most common.

Question 6

3 cervical spinal injuries?

Answer 6

Spear tackler’s spine, stinger/burner, c-spine fracture/dislocation

Question 7

Thoracic spine injury?

Answer 7

Compression fracture

Question 8

Thoracic spine compression fracture mechanism?

Answer 8

Axial load, fall from height

Question 9

Types of lumbar spine injuries?

Answer 9

Pars stress fracture, ruptured disc

Question 10

Pars stress fracture mechanism?

Answer 10

Repeated injury. Stress reaction –> stress fracture. Twisting in lacrosse, doing squats improperly, hyperextension of back (offensive linemen with collision after snap)

Question 11

What is your diagnosis?

Answer 11

Spear tackler’s spine (loss of cervical lordiosis and cervical stenosis are visible)

Question 12

Diagnosis?

Answer 12

Cervical spinal fracture/dislocation (C6/C7)

Question 13

Diagnosis? (picture is in thoracic spine)

Answer 13

Thoracic spine compression fracture

Question 14

Diagnosis?

Answer 14

Lumbar pars stress fracture

Question 15

Diagnosis?

Answer 15

Ruptured lumbar disc