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Published 28 April 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.07.2008.0573]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Other full case

A case of an 18-year-old male rugby union forward with a C5/C6 central disc herniation

Henare Renata Broughton

New Lynn Family Health Centre, 3075 Great North Road, New Lynn, Waitakere, 0640, New Zealand

Correspondence to:
Henare Broughton, henare_rb{at}yahoo.com

SUMMARY

The patient was an 18-year-old front row forward rugby player who had a history of episodic neck pain for over 2 years following playing games of rugby. The initial event of April 2005 for which the symptoms manifested was a scrum collapse; he continued playing until a front-on tackle occurred when the symptoms dictated that he leave the field and be taken to the local hospital. A diagnosis of a cervical sprain was made and conservative management ensued. During the selections held on January 2008, a medical assessment was made and an MRI found that he had a central disc herniation at C5/C6. He was referred to a spinal orthopaedic surgeon for further treatment. The risks to cervical spinal injuries are illustrated in this case, in a scrum and in the tackle. The prevention of such an injury is discussed.


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