Biomechanics of hyperextension injuries to the cervical spine in football. 1980

D R Carter, and V H Frankel

The biomechanics of cervical spine hyperextension injuries in football players were assessed by using quasi-static-free body analyses. Three situations, i.e., "cases," corresponding to the loading conditions created by three different helmet designs, were examined with the following assumptions: (1) the helmet rim is cut high enough posteriorly so that it does not impinge upon the posterior cervical spine, (2) the helmet rim impacts at the level of the fourth cervical vertebra, and (3) the posterior rim of the helmet strikes the shoulder pads. The results of the analyses suggest that the most dangerous hyperextension situation is Case 1 which leads to high forces and possibly serious injury to the upper cervical spine. The impact of the posterior rim of the helmet at the fourth cervical vertebra (Case 2) significantly reduces these forces. This finding directly conflicts with the so-called "guillotine" mechanism of injury. The impact of the posterior rim of the helmet on the shoulder pads (Case 3) creates the least hazardous loading conditions.

UI MeSH Term Description Entries
D008433 Mathematics The deductive study of shape, quantity, and dependence. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Mathematic
D002574 Cervical Vertebrae The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK. Cervical Spine,Cervical Spines,Spine, Cervical,Vertebrae, Cervical
D005538 Football A competitive team sport played on a rectangular field.This is the American version of the game. It does not include non-North American football ( American Football,Football, American
D006260 Head Protective Devices Personal devices for protection of heads from impact, penetration from falling and flying objects, and from limited electric shock and burn. Helmets,Device, Head Protective,Devices, Head Protective,Head Protective Device,Helmet,Protective Device, Head,Protective Devices, Head
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001265 Athletic Injuries Injuries incurred during participation in competitive or non-competitive sports. Sports Injuries,Injuries, Athletic,Injuries, Sports,Athletic Injury,Injury, Athletic,Injury, Sports,Sports Injury
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic

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