Conservative Management for a Traumatic Cervical Spine Cycling Injury
Keywords:physical therapy, atlas fracture, clavicle fracture, return to sport
Competitive cycling holds an inherent risk of traumatic injury often resulting in fracture. Questions regarding the probability of return to sport then arise. The purpose of this case report is to describe the treatment approach and likelihood of returning to cycling after traumatic fracture of the cervical spine and clavicle. This case report describes the use of an original combination of interventions for a C1 fracture with an associated open reduction internal fixation of a left clavicle fracture in a 39-year-old male cyclist. The patient lost control of his bike while descending a slippery slope and was propelled over the handlebars landing head first. The resultant cervical spine and clavicle fractures required twelve weeks in a cervical collar. Physical therapy interventions focused on regaining strength and functional mobility of the cervical spine and shoulder. Following treatment a minimal detectable change was seen for range of motion (>6%) of the cervical spine and shoulder, the Numerical Pain Rating Scale (3 point change), and the Disabilities of the Arm, Shoulder and Hand (29.2% change). The patient returned to his prior level of function at home and work. Medical clearance was received to return to training, with a hopeful prognosis of eventually returning to competition.
How to Cite
Copyright (c) 2015 Journal of Science and Cycling
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors contributing to Journal of Science and Cycling agree to publish their articles under a Creative Commons CC BY-NC-ND license, allowing third parties to copy and redistribute the material in any medium or format, and to remix, transform, and build upon the material, for any purpose, even commercially, under the condition that appropriate credit is given, that a link to the license is provided, and that you indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
Authors retain copyright of their work, with first publication rights granted to Cycling Research Center.