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P Brukner

Publications and source records attributed to P Brukner.

36 records · Page 2Linked to original sources
PubMed1996

Stress fracture of the body of the talus in athletes demonstrated with computer tomography.

PURPOSE: This article describes a series of four previously unreported stress fractures of the body of the talus. CASE SUMMARY: The four patients presented with ankle pain of gradual onset for periods of three weeks to 12 months. Radioisotope scans in all four patients showed identical pictures of markedly increased uptake in the region of the body of the talus. Computed tomographic scan images were also similar showing a distinct fracture line through the posterolateral aspect of the body of the talus extending into the subtalar joint. All four patients were treated differently ranging from rest to surgery, but no treatment appears totally successful. DISCUSSION: A single case of stress fracture of the neck of talus has previously been reported in a runner, but no previous cases of stress fracture of the body of the talus have been reported. The mechanism may be that in the presence of excessive subtalar pronation and plantar-flexion, the lateral process of the calcaneus impinges on the concave posterolateral corner of the talus. No treatment appeared totally successful but the authors would recommend a six week period of non-weight-bearing rest. RELEVANCE: The diagnosis of stress fracture of the body of the talus should be considered in the athlete who presents with gradual onset of ankle pain.

Adult↗
PubMed1996

Stress fracture of the neck of the seventh and eighth ribs: a case report.

PURPOSE: This article describes a previously unreported site of stress fracture. CASE SUMMARY: A 20-year-old female sculler presented with a 10-day history of posterolateral thoracic pain and marked tenderness maximally over the seventh and eighth costovertebral joints. A radioisotope bone scan showed foci of increased uptake posteriorly in the region of the seventh and eighth ribs. Computed tomographic scan confirmed and diagnosis of stress fracture of the neck of the seventh and eighth ribs. DISCUSSION: Stress fractures of the ribs have previously been reported in rowers. All previous reports have involved fractures in the posterolateral aspect of the ribs. The mechanics of this fracture at the neck of the ribs is uncertain. RELEVANCE: This case is the first reported of a stress fracture of the neck of the ribs. It should be considered in the differential diagnosis of a rower with thoracic spine pain.

Adult↗
PubMed1996

Stress fractures: a review of 180 cases.

OBJECTIVE: To review the cases of stress fracture seen over a 2-year period at a sports medicine clinic. DESIGN: One hundred and eighty cases diagnosed as stress fractures on the basis of clinical picture and radiological evidence were reviewed. The following features of each stress fracture were noted: age, sex, site, sport/activity. SETTING: A sports medicine centre in Melbourne, Australia. PATIENTS: The average age was 21.8 years. Seventy eight of these stress fractures were seen in women, 102 in men. RESULTS: The most common sites of stress fractures were the metatarsal bones (n = 42), tibia (n = 36), fibula (n = 30), tarsal navicular (n = 26) and pars interarticularis (n = 17). The most common sport was track (n = 54). Other common sports activities were jogging/distance running (n = 35), dance (n = 32) and Australian football (n = 14). The distribution of sites of stress fractures varied from sport to sport. Among the track athletes (n = 54), navicular (n = 19), tibia (n = 14) and metatarsal (n = 9) were the most common stress fracture sites. The distance runners (n = 35) predominantly sustained tibia (n = 15), and fibula (n = 8) stress fractures, while metatarsal stress fractures (n = 18) were the most common among dancers. The distribution of sports varied with the site of the stress fracture. In the metatarsal stress fractures (n = 42), dance was the most common activity. Distance running (n = 15) and track (n = 14) were the most common sports in the group to have sustained tibia stress fractures (n = 36). Track athletes (n = 14) were particularly prevalent in the navicular stress fracture group (n = 26). CONCLUSION: The distribution of sites of stress fractures in this study shows some differences from previously published studies.

Adult↗
PubMed1996

Anterior knee pain.

Explore the source record for details and available documents.

Athletic Injuries↗
PubMed1996

Hamstring injuries.

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Athletic Injuries↗
PubMed1996

Sports medicine. Overuse injuries. Part 1: bone.

Musculoskeletal problems have always been a large part of the general practitioner's case load. The development of sports medicine as a separate entity has helped define and increase understanding of these problems, many of which are managed in a general practice environment. This monthly series is designed to improve and update knowledge in this area and provide useful pointers for management.

Fractures, Stress↗
PubMed1991

The difficult ankle.

Ankle sprains are extremely common in sport and usually respond to conservative management, but many apparent ankle sprains do not respond to treatment and remain painful. Alternative diagnoses must be considered. These require careful clinical assessment and often further investigations.

Adult↗
PubMedDate not supplied

Obturator nerve entrapment. A cause of groin pain in athletes.

Chronic groin pain in athletes is often difficult to diagnose and treat. There are many anatomic structures in the inguinal and groin region that have the potential to cause pain. We report 32 cases of a previously undescribed condition in athletes of "obturator neuropathy," a fascial entrapment of the obturator nerve where it enters the thigh. This condition represents a type of groin pain in athletes that is treatable by surgical means. There is a characteristic clinical pattern of exercise-induced medial thigh pain commencing in the region of the adductor muscle origin and radiating distally along the medial thigh. Needle electromyography demonstrates denervation of the adductor muscles. Surgical neurolysis treatment provides the definitive cure of this problem, with athletes returning to competition within several weeks of treatment. The surgical findings are entrapment of the obturator nerve by a thick fascia overlying the short adductor muscle. The role of conservative treatment in the management of this condition is unknown at present.

Adolescent↗
PubMedDate not supplied

Injury profile of amateur Australian rules footballers.

Australian Rules Football is played by numerous young Australians throughout winter each year. There have been a number of studies on professional and semi-professional footballers, establishing the nature and frequency of injuries within this football code. Medical cover of an amateur football club over the 1993 season allowed detailed recording of injuries over this period. The data collected revealed a markedly different injury profile to that seen previously. The injury rate in this study was 96 per 1000 player hours. The most common injury was concussion (15%), with hand fractures next most frequent (13.5%). The lower limb was the most common site of injury, with head and neck second and upper limb third. Injuries with an overuse component were seen less commonly in the amateur group while traumatic injuries were more frequent. The time allocated by amateur footballers to their sport is less than professional players, quite aside from the difference in skill level attained. Overuse injuries may be correspondingly much less frequent on a time basis alone. The increased incidence of traumatic injuries is postulated to be a manifestation of both less well developed skills and possibly less available and effective preventative measures such as ankle strapping and tape supplies. Considering the large number of young people playing amateur football and the significant time and cost of what are often relatively minor injuries, more work is required to establish what injuries are most common, and importantly, what measures can be taken to decrease their incidence.

Athletic Injuries↗