Spine injury in sports.
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Athletic Injuries↗
Biomedical subjects
D F Apple
Publications and source records attributed to D F Apple.
A chronicle of progress.
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Financing, Government↗
Hysterical spinal paralysis.
Seventeen patients were diagnosed as having hysterical paralysis. Although a variety of patterns of motor and sensory loss were seen, 15 out of 17 patients had normal reflexes, and all the patients had bowel and bladder control, an important diagnostic point. All but 1 were improved after an average 3.8 days hospital stay with 13 being fully recovered. When a patient is encountered with paralysis, normal reflexes and bowel and bladder control, the only initial diagnostic study indicated is routine X-rays.
Adolescent↗
MRI of the athletic knee. Findings in asymptomatic professional basketball and collegiate football players.
For the dedicated athlete in whom minor injuries are frequent and major injuries relatively common, a noninvasive knee assessment could either obviate the need for arthroscopy or focus its direction. The opportunity to study asymptomatic athletes was not feasible before the advent of magnetic resonance imaging (MRI). In this preliminary work, we examined 40 knees in 20 asymptomatic volunteer athletes, including five professional basketball players and 15 collegiate football players. Images were obtained at 0.5 T or 1.5 T. Spin echo sequences were used to obtain 5.0 mm thick coronal and sagittal sections. Fifty percent of asymptomatic athletes (10/20) had significant baseline MRI abnormalities that could have adversely affected scan interpretation in the context of an acute injury. Half of these athletes with MRI abnormalities, or 25% of the total (5/20), had no previous surgery and were unaware of significant injury.
Adult↗
Identification of herniated nucleus pulposis in spinal cord injury.
Five cases of documented traumatic herniated nucleus pulposis are presented all occurring within the cervical region. The incidence of herniated disc in cervical spinal cord injury is 0.7%. The incidence of herniated disc in bilateral facet dislocations is 2.3%. The common features are radicular pain, incomplete syndrome, and bilateral facet dislocations. A routine myelogram is the most helpful test to establish the diagnosis.
Adult↗
End stage running problems.
What is the problem of a runner who is not recovering? It may be that the diagnosis is incorrect or that the treatment is improper. This article reviews uncommon problems of the lower extremities that may provide the answer.
Athletic Injuries↗
Adolescent runners.
The inherent flexibility of young and adolescent runners does not protect them from injury. An understanding of the similarities to and differences from adult problems will help the physician to not only treat appropriately but also give meaningful advice to parents and coaches.
Adolescent↗
Knee pain in runners.
Of 149 runners seen with knee pain, 60 had common orthopedic problems as the cause. Eighty-nine had recurring pain but few or no classic findings. These runners were divided into four groups depending on localization of the pain. Gait mechanical problems were identified and treatment regimens developed. Questionnaires were returned by 40 runners who fit into these four pain groups. Treatment by injections, anti-inflammatory agents, and advice to rest or stop running had produced only temporary results. Correction of biomechanical problems related to running relieved or improved the pain in 37 of 40 patients.
Adolescent↗
Ipsilateral fractures of the elbow and forearm.
One hundred and fifty-one patients with distal humeral fractures admitted to three major hospitals in Atlanta were studied retrospectively. Of these, 15 (10%) also had a fracture of the ipsilateral forearm. These appeared to be more severe injuries with a history of greater trauma and more displacement in the elbow fractures. The incidence of complications was the same in both groups with the exception of a higher incidence of cubitus varus among patients with combined fractures.
Adolescent↗