MANAGEMENT OF A 30-YEAR-OLD MALE MIXED MARTIAL ARTS FIGHTER PRESENTING WITH SPINAL CORD CONTUSION

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

Published Mar 14, 2017
Adam Sergent Scott Self Matthew Richardson

Abstract

Objective: To describe diagnosis and management of a 30-year-old Mixed Martial Arts fighter who experienced a hyper-extension injury to the cervical spine resulting in contusion of his spinal cord. Clinical Features: A 30-year-old man was struck in the face, causing his head and neck to be forced into extreme extension. He presented with swollen hands that were hypersensitive to touch, cold, air, and temperature. Muscles in his forearm and hand were in spasm, with inability to extend his fingers. Intervention and Outcome: He was initially examined at the clinic and cervical spine radiographs were taken and interpreted as negative for fracture. An MRI of the cervical spine was ordered due to the neurologic presentation. It showed findings consistent with spinal cord contusion.  The patient was referred to a neurosurgeon for further evaluation and management. Over a 3-week period his symptoms started to decrease; however, at the time of this reporting he remains a candidate for cervical surgery. Conclusion: The patient was referred to a neurosurgeon and no chiropractic manipulation was rendered. A doctor of chiropractor served as a primary provider in the patients care and management by recognizing the signs and symptoms of a cervical cord injury and through the implementation of appropriate follow-up care, including advanced imaging and consultation with a neurosurgeon.
Abstract 133 | PDF Downloads 97

##plugins.themes.bootstrap3.article.details##

Keywords

Cord Contusion

References
1. National Spinal Cord Injury Statistical Center. Spinal cord injury: facts and figures. 2014. Available at https://www.nscisc.uab.edu/Public/Facts%202015.pdf. Accessed August 2015.
2. Forgione N, Karadimas S, Foltz W, Satkunendrarajah K, Lip A, Fehlings M. Bilateral contusion-compression model of incomplete traumatic cervical spinal cord injury. J Neurotrauma 2014 31:1776-1788
3. Hagen E. Acute complications of spinal cord injuries. World J Orthop 2015;6(1):17-23
4. Xu D, Guo X, Yang C, Zhang L. Assessment of hyperactive reflexes in patients with spinal cord injury. BioMed Research International 2015:149875: doi: 10.1155/2015/149875
5. Lance J. Symposium synopsis. Spasticity: Disorder motor control. 1980:485-500
6. ODwyer N, Ada L, Neilson P. Spasticity and muscle contracture following stroke. Brain 1996;119:1737-1749
7. Gupta R, Mittal P, Sandhu P, Saggar K, Gupta K. Correlation of qualitative and quantitave MRI parameters with neurological status: a prospective study on patients with spinal trauma. J Clin Diagn Res 2014: Nov;8(11):RC13-7. doi: 10.7860/JCDR/2014/9471.5181.
8. Bozzo A, Marcoux J, Radhakrishna M, Pelletier J, Goulet B. The role of magnetic resonance imaging in the management of acute spinal cord injury. J Neurotrauma 2011;28:1401-1411
9. Shimada K, Tokioka T. Sequential MR studies of the cervical cord injury: correlation with neurological damage and clinical outcome. Spinal Cord 1999;37:410-415
10. Sezer N. Chronic complications of spinal cord injury. World J Orthop 2015;6(1):24-24
11. Hagen E. Acute complications of spinal cord injuries. World J Orthop 2015; 6(1):17-27
12. Rekand, T. Clinical assessment and management of spasticity: A review. Acta Neurologica Scand 2010;(190):62-6. doi: 10.1111/j.1600-0404.2010.01378.x
13. Manison A. Chiropractic management using Cox cervical flexion-distraction technique for a disk herniation with left foraminal narrowing in a 64-year-old male. J Chiropr Med 2011;10:316-321
14. Wong J, Shearer H, Mior S et al. Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash associated disorders or neck pain and associated disorders? An update of the bone and joint decade task force on neck pain and its associated disorders by the optima collaboration. Spine J 2015, http://dx.doi.org/doi: 10.1016/j.spinee.2015.08.024
15. Detloff M, Quiros-Molina D, Javia A et al. Delayed exercise is ineffective at reversing aberrant nociceptive afferent plasticity or neuropathic pain after spinal cord injury in rats. Neurorehabil Neural Repair 2015: 545968315619698. [Epub ahead of print
16. Nas K.. Rehabilitation of spinal cord injuries. World J Orthop 2015;6(1):8-18
17. Bi X, Lv H, Chen B, Li, Wang X. Effects of transcutaneous electrical nerve stimulation on pain in patients with spinal cord injury: A randomized controlled trial. J Phys Ther Sci 2014;27:23-25
18. Cheshmehkani A, Senatorov I, Kandi et al. Fish oil and flax seed oil supplemented diets increase FFAR4 expression in the rat colon. Inflamm Res 2015;64:809-815
19. Sala F, Menna G, Bricolo A, Young W. Role of Glycemia in acute spinal cord injury: data from a rat experimental model and clinical experience. Annals NY Acad Sci 133-154
20. Paulus S, Kennedy D. Return to play considerations for cervical spine injuries in athletes. Phys Med Rehabil Clin N Am 2015;25:723-733
Section
Articles