Spinal Injuries in Ice Hockey: Review of 182 North American Cases and Analysis of Etiological Factors

2009 ◽  
pp. 37-37-10
Author(s):  
CH Tator ◽  
VE Edmonds ◽  
L Lapczak
Author(s):  
C.H. Tator ◽  
C.F. Provvidenza ◽  
L. Lapczak ◽  
J. Carson ◽  
D. Raymond

Objectives:Study objectives were: (a) to examine the causes and incidence of major spinal cord injuries sustained by ice hockey players; and (b) to add recently reported Canadian cases to the Canadian Ice Hockey Spinal Injury Registry to determine the effectiveness of prevention efforts.Methods:The study was a review of questionnaires returned retrospectively by physicians and other sources reporting ice hockey related spinal injuries in Canada. Physicians reported on the mechanism of injury, vertebral level of injury, presence of neurologic deficit, type of event, and type of fracture.Results:Between 1943 and 1999, 271 major spinal injuries were reported in Canadian ice hockey players, of which 49.0% occurred to players 16-20 years of age. Ontario has had a disproportionately large number of injuries compared to some provinces, especially Quebec. Of the spinal cord injuries, 65.8% resulted from colliding with the boards, and 36.6% were due to players being pushed or checked from behind. The recent survey shows that there has been a decline in the number of major spinal cord injuries in Canadian ice hockey, especially those causing paralysis due to checking or pushing from behind.Conclusion:Impact of the head with the boards after being checked or pushed from behind was the most common mechanism of spinal cord injury. Injury prevention programs are becoming effective in reducing the overall number of injuries, especially those due to checking from behind. Greater awareness of the occurrence and mechanisms of injury through educational programs and rules changes by organized hockey have reduced the annual incidence of catastrophic spinal injuries in Canadian ice hockey.


PEDIATRICS ◽  
1995 ◽  
Vol 95 (3) ◽  
pp. 419-421
Author(s):  
Teena M. Murray ◽  
Lori A. Livingston

Objective. To educate physicians about factors that contribute to injurious behaviors in ice hockey and to propose that the medical community play a role in advocating change within the sport. Methods. A review of relevant literature on the topic was conducted, with information drawn from scientific journal publications, conference proceedings, theses, and newspaper publications. Results. The introduction of mandatory head and facial protection has been effective in virtually eliminating ocular, facial, and dental injuries in youth hockey, but it has also been problematically linked with an increase in catastrophic spinal injuries. Players adopt a false sense of security when donning the equipment, leading them to take excessive and unwarranted risks because of the protection they are supposedly afforded. The addition of these protective devices has also altered how officials perceive game situations, leading them to be more lenient in administering penalties. The net result has been an increase in illegal and injurious behaviors, such as checking from behind. Conclusion. Physician advocacy may play an important role in effecting change within the sport.


Author(s):  
CH Tator ◽  
C Provvidenza

Background: The Registry has collected data on spinal injuries in hockey for 30 years. This paper identifies the nature and incidence of spinal injuries in Canadian ice hockey and the impact of prevention programs. Methods: Data about spinal injuries with and without spinal cord injury in ice hockey have been collected by Parachute Canada/ThinkFirst’s Canadian Ice Hockey Spinal Injury Registry since 1981 through retrospective questionnaires from practitioners, ice hockey organizations and media reports. Injury risk factors assessed include age, gender, location, and injury mechanism. Results: From 1943-2011, 355 cases have been documented. Injuries were primarily sustained by males (97.7%), and were cervical (78.9%)in location, resulting mainly from impact with the boards (64.2%). Checking/pushing from behind (36.0%) was the most common cause of injury, although slightly lower during 2006-2011. Major differences between provinces continue; Ontario and Quebec, continue to show markedly different injury rates, with Ontario’s more than twice that of Quebec. Conclusions: Spinal injuries in hockey continue to occur, although at lower rates than in the peak years from 1981-2000. Injury prevention education and rules reinforcement (e.g. no checking/pushing from behind). Data indicate that multifaceted prevention programs have reduced the risk of injury.


1997 ◽  
Vol 25 (5) ◽  
pp. 27-27
Author(s):  
William O. Roberts
Keyword(s):  

1998 ◽  
Vol 17 (1) ◽  
pp. 183-194 ◽  
Author(s):  
Charles H. Tator ◽  
James D. Carson ◽  
Virginia E. Edmonds
Keyword(s):  

2020 ◽  
Vol 51 (1) ◽  
pp. 25-45
Author(s):  
Kathleen E. Bachynski

On November 1, 1959, a flying hockey puck broke the nose of goalie Jacques Plante. Thereafter, he insisted on wearing a face mask, a decision that signaled a broader introduction of safety equipment into North American ice hockey. This paper examines how head and facial protection became a standard requirement for playing hockey in North America at amateur and professional levels of the sport. During the mid-twentieth century, national governing bodies confronted growing safety concerns amid rising participation in organized hockey. Yet in the absence of league-wide mandates, players generally did not sustain helmet use. From the 1950s through the 1970s, masks for goalies and helmets and facial protection for skaters were mandated to protect against injuries. In the context of contemporary concussion concerns, the history of debates over hockey head and face protection illustrates the array of social, cultural, and organizational factors behind measures to protect athletes’ health.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Garrett S. Bullock ◽  
Elizabeth Murray ◽  
Jake Vaughan ◽  
Stefan Kluzek

AbstractSports-related injuries increase healthcare cost burden, and in some instances have harmful long term physical and psychological implications. There is currently a lack of comprehensive data on temporal injury trends across professional North American sports. The purpose of this study was to compare temporal trends, according to incidence and time-loss injuries, by body part in professional baseball, basketball, football, and ice hockey. Public injury data from Major League Baseball, National Basketball Association, National Football League, and National Hockey League from 2007 to December 2019 were extracted and used. A mean of 62.49 injuries per 100 players per season was recorded for all professional sports. The groin/hip/thigh reported the greatest season proportional injury incidence for baseball, football, and ice hockey, with the groin/hip/thigh as the third highest injury incidence in basketball. When stratifying by more specific body part groupings, the knee demonstrated the greatest injury proportional incidence for basketball, football, and ice hockey, with the knee as the third highest proportional injury incidence for baseball. There was an increased in basketball ankle injuries following 2011–2012 season. Football and ice hockey reported the greatest concussion proportion incidence, with football demonstrating an increase in concussions over time, and a substantial increase in concussions from the 2014 to 2015 season. These publicly extracted data and findings can be used as a shared resource for professional baseball, basketball, football, and ice hockey for future individual and across sport collaborations concerning resource allocation and decision making in order to improve player health.


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