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Updated: Dec 29, 2025

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
Published on: September 21, 2017
Neck Injuries
Benjamin Oshlag1, Tracy Ray2, Benjamin Boswell3
1Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel Hospital, First Ave at 16th St, New York, NY 10003, USA.
Neck injuries in athletes, though uncommon, can be severe. Current immobilization methods may cause more harm than benefit, suggesting a need for revised protocols.
Area of Science:
- Sports Medicine
- Orthopedics
- Neurology
Background:
- Neck injuries in athletes, particularly in contact sports, pose a risk of permanent disability.
- Common injury mechanisms involve axial loading with a forward-flexed neck.
- While soft tissue and nerve injuries often have good prognoses, concerns about spinal cord injuries lead to aggressive immobilization.
Purpose of the Study:
- To evaluate the efficacy and potential harm of routine spinal immobilization for athletic neck injuries.
- To advocate for a more nuanced and evidence-based approach to managing athletic neck injuries.
Main Methods:
- Review of injury mechanisms and outcomes in athletes.
- Analysis of the impact of current immobilization practices (spine boards, cervical collars).
Main Results:
- Soft tissue and peripheral nerve injuries typically result in minor, self-limiting conditions with good recovery.
- Universal application of spine boards and hard cervical collars may be more detrimental than beneficial.
Conclusions:
- A "commonsense" protocol, tailored to specific injury presentations, is recommended over universal immobilization.
- Revising current protocols can improve patient outcomes and reduce iatrogenic harm from neck injury management.
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