Abstract
The incidence of injuries to the spinal cord sustained at rugby in South Africa, New Zealand and Australia is reviewed. Ninety-seven injuries seen at Stoke Mandeville Hospital at the National Spinal Injuries Centre (NSIC) between 1956 and 1993 are analysed in detail. There were 93 accidents at rugby union, two at American football and two at rugby league. The injuries were of the cervical spine apart from four hysterics and one thoracic injury. The thoracic injury occurred after the game when the player fell downstairs. The injuries were analysed according to the mechanism of injury, the neurological condition, the causation, the standard of the player and the position in the field. The injuries caused were the result of force being applied to the skull which was transmitted to the cervical spine resulting in injury to the cervical cord. As a result of this research, representations were made to the appropriate authorities and changes in the laws were made. As a result of these law changes there has been a dramatic reduction in the overall number of injuries and the elimination of the injury from the loose scrum. This paper discusses the historical sequence of how these preventative measures came about to reduce the incidence of injuries and the legal implications whereby the authors took part in two law suits. The legal consequences are analysed in detail.
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O'Connell T C J (1954) Rugby injuries and their prevention. A review of 600 cases. J Irish Med Assoc 34: 20–26.
Silver J R (1984) Injuries of the spine sustained in rugby. BMJ 288: 37–43.
Nicholl J P, Coleman P, Williams B T (1991) A National Study of the Epidemiology of Exercise-Related Injury and Illness: A Report to the Sports Council. Medicine Care Research Unit, Department of Public Health and Medicine, University of Sheffield Medical School.
Scher A T (1990) Rugby injuries of the cervical spine and spinal cord. S Afr J Sports Med 5: 9–14.
Calcinai C (1986) Spinal injuries, what do we know, and what should we do? International Rugby Football Board, medical presentation.
Vanderfield G (1987) Spinal injuries in rugby football: vital statistics over the last ten years. Paraplegia 25: 410.
Silver J R (1993) Spinal injuries in sports in the UK, Br J Sports Med 27: 115–120.
Roaf R A (1960) A study of the mechanics of spinal injuries, J Bone Joint Surg Br 42: 810–823.
Bauze R J, Ardran G M (1978) Experimental production of forward dislocation in the human cervical spine. J Bone Joint Surg Br 60: 239–245.
Mahale Y J, Silver J R, Henderson N J (1993) Neurological complications of the reduction of cervical spine dislocations. J Bone Joint Surg Br 75: 403–409.
Taylor A R (1951) The mechanism of injury to the spinal cord in the neck without damage to the vertebral column. J Bone Joint Surg Br 33: 543–547.
Torg J S, Pavlov H, Genuario S E et al (1986) Neurapraxia of cervical spinal cord with transient quadriplegia. J Bone Joint Surg Br 68: 1354–1370.
Symonds, Sir Charles (1953) The interrelation of trauma and cervical spondylosis in compression of the cervical cord. The Lancet 7 Mar: 451–454.
Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 8: 817–831.
Ravichandran G, Silver J R (1982) Survival following traumatic tetraplegia. Paraplegia 20: 264–269.
Baker J H E, Silver J R (1987) Hysterical paraplegia. J Neurol Neurosurg Psychiatry 50: 375–382.
Silver J R (1979) Rugby injuries to the cervical cord. BMJ 1: 192–193.
Kinkade J (1979) Rugby football injuries to the cervical cord. Medical Officers of Schools Association, Chandos Street, London W1. (Letter to the headmasters of public schools in Northern Ireland).
Silver J, Davies J E, Walkden L et al (1979) Letter to public schools. Medical Officers of Schools Association, Chandos Street, London W1.
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Silver, J., Stewart, D. The prevention of spinal injuries in rugby football. Spinal Cord 32, 442–453 (1994). https://doi.org/10.1038/sc.1994.71
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DOI: https://doi.org/10.1038/sc.1994.71
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