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Master Thesis

Lésions cervicales hautes chez le rugbyman professionnel : diagnostic, prise en charge, devenir sportif ; à propos de 7 cas

Abstract : High cervical pathology in athletes is uncommon and poorly documented, so few C1/C2 serious lesions have been reported during rugby practice, medical literature shows that low cervical lesions are the main pathologies. The only report is the japanese study from Miyamoto in 2003 concerns one case of serious high cervical lesion in relation to anterior C1/C2 subluxation who stopped professional rugby practice after surgery. Our study, a monocentric retrospective study is the most important cases serie concerning serious high cervical lesions in professional athletes. It concerns analysis of functional and sport futures of seven professional rugbymen, suffering from high cervical trauma, who undergone surgery and reeducation, by directed questionnaires and medical imaging analysis, from the diagnosis to control during study, with paramount importance of dynamic X-ray for diagnosis. Six of the seven players have returned professionnal rugby competition, the 7th has not returned despite of federation medical spine referent. The large majority of players don't suffer from discomfort or pain, and they consider themselves as very good physical and mental health. In addition, the successive imaging controls carried out in our workforce players do not allow us to highlight the high cervical arthrodesis deleterious consequence on the quality of life for players, and in particular regardless of the propensity to disc degeneration underlying the arthrodesis. This work shows that antecedent of upper cervical surgery is entirely compatible with the return to high-level rugby, whereas the lack of knowledge relative to this pathology combined with the precautionary principle application usually tends to restrain caregivers.
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Master Thesis
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Submitted on : Friday, January 17, 2020 - 6:17:21 PM
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Vincent Cilluffo. Lésions cervicales hautes chez le rugbyman professionnel : diagnostic, prise en charge, devenir sportif ; à propos de 7 cas. Médecine humaine et pathologie. 2019. ⟨dumas-02444377⟩



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