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The American Journal of Sports Medicine 25:603-608 (1997)
© 1997 SAGE Publications

Stingers, the Torg Ratio, and the Cervical Spine

Frank P. Castro, Jr, MD

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana

James Ricciardi, MD

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana

Michael E. Brunet, MD

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana

Michael T. Busch, MD

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana

Thomas S. Whitecloud, MD

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana

We prospectively determined the risk of initial stinger experience in a group of college football players while considering the presence of cervical canal stenosis and each player's position, playing time, and body type. Prospective analysis revealed a 7.7% incidence of initial stinger experience. The average Torg ratio for all players was 0.924 ± 0.122, with the seventh cervi cal level being the narrowest. Initial stinger experience depended on position played and body type. The Torg ratio did not influence initial stinger occurrence. Play ers who experienced multiple stingers, however, had significantly smaller Torg ratios than players experi encing only one stinger (0.75 versus 0.87). A Torg ratio of 0.70 may be a more statistically and clinically appro priate threshold for determining significant cervical ste nosis and advising collegiate athletes of their risk of experiencing recurrent stingers.




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