Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Baseball”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 829 records · Page 46Linked to original sources

Thermal-assisted capsular shrinkage of the glenohumeral joint in overhead athletes: a 15- to 47-month follow-up.

STUDY DESIGN: Descriptive postoperative follow-up research. OBJECTIVES: The purpose of this investigation was to describe the return-to-competition rate and functional outcome of overhead athletes following arthroscopic thermal-assisted capsular shrinkage (TACS). BACKGROUND: Traditional open procedures to correct instability in overhead athletes, such as capsulolabral repairs and capsular shifts, have produced less-than-favorable results, which have led to the development of TACS. Currently there are no long-term follow-up studies documenting the efficacy of this procedure in groups greater than 31 subjects or for a time period greater than 27 months. METHODS AND MEASURES: Two hundred thirty-one consecutive overhead athletes who due to symptoms of hyperlaxity had previously undergone a TACS procedure from 1997 to 1999 were selected for inclusion in the study. During a 1-month period, 130 of these athletes (mean age +/- SD, 24 +/- 6 years; 113 male, 17 female) were contacted by phone for follow-up at a mean of 29.3 months postoperatively (range, 15.4-46.6 months). Of the 130, 105 participated in baseball (80 pitchers), 14 in softball, 4 in football (quarterbacks), 4 in tennis, and 3 in swimming. Fifty-four (42%) subjects were professional, 49 (38%) collegiate, 16 (12%) high school, and 11 (8%) recreational athletes. One hundred twenty-three of the 130 (95%) underwent 1 or more concomitant procedure(s) at the time of TACS. Most commonly performed were labral debridements (69%), rotator cuff debridements (65%), and superior labral repairs (35%). Subjects who returned to competition were retrospectively evaluated using a modified Athletic Shoulder Outcome Rating Scale to subjectively assess pain, strength and endurance, stability, intensity, and performance. Overall results were based on a 90-point scale with scores of 80 to 90 representing excellent, 60 to 79 good, 40 to 59 fair, and less than 40 poor results. RESULTS: One hundred thirteen out of 130 subjects (87%) returned to competition. Mean (+/-SD) time from surgery to return to competition was 8.4 +/- 4.6 months. Mean outcome score for all subjects was 79/90; 75 (66%) subjects had excellent, 24 (21%) good, 11 (10%) fair, and 3 (3%) poor result. The mean outcome score for males was 80/90 and for females was 70/90. CONCLUSIONS: The majority of overhead athletes (87%) successfully returned to competition following a TACS procedure with good-to-excellent long-term outcomes (88%). Based on the results of this study, TACS of the glenohumeral joint is a viable option for overhead athletes with pathological instability.

Adolescent↗

Atraumatic osteolysis of the distal clavicle: histologic evidence of synovial pathogenesis. A case report.

Osteolysis of the distal clavicle was diagnosed in a young male athlete following many years as a baseball pitcher with a supplementary weightlifting program. There was no history of ligamentous injuries, contusions, fractures or separation of the acromioclavicular joint. As such, this case was categorized as "atraumatic" osteolysis. Non-decalcified histologic sections from the resected clavicle suggest that the pathogenesis of this atraumatic osteolysis arose from the synovium.

Adolescent↗

Participation in sports after hip and knee arthroplasty: review of literature and survey of surgeon preferences.

OBJECTIVE: To summarize previously published findings and to present the opinions of a group of reconstructive orthopedic surgeons from a single institution on participation in sports after hip or knee arthroplasty. DESIGN: We reviewed the literature pertaining to participation in sports after hip or knee arthroplasty and surveyed a group of orthopedic surgeons about their recommendations for resumption of various sports activities by patients who had undergone total hip or knee arthroplasty. MATERIAL AND METHODS: A computerized literature search was performed, and salient issues about participation in sports after joint replacement procedures were synthesized. At the Mayo Clinic, 28 orthopedic surgeons (13 consultants and 15 fellows or residents) completed a single-page questionnaire that requested a recommendation ("yes," "no," or "depends") about patients resuming participation in 28 common sports after recovery from total hip or knee arthroplasty. Staff surgeon responses were compared with responses from fellows and residents by using the Mann-Whitney U test. Sports in which 75% of surgeons would not allow participation were identified as "not recommended," whereas sports in which 75% of surgeons would allow participation were labeled as "recommended." RESULTS: Fellows and residents were less likely than staff surgeons to allow return to cross-country skiing after total knee arthroplasty. Otherwise, responses from consultant surgeons and from fellows and residents did not differ significantly. Recommended sports included sailing, swimming laps, scuba diving, cycling, golfing, and bowling after hip and knee replacement procedures and also cross-country skiing after knee arthroplasty. Sports not recommended after hip or knee arthroplasty were running, waterskiing, football, baseball, basketball, hockey, handball, karate, soccer, and racquetball. CONCLUSION: After hip or knee arthroplasty, participation in no-impact or low-impact sports can be encouraged, but participation in high-impact sports should be prohibited.

Hip Prosthesis↗

[Clinical study of maxillofacial fractures sustained during sports and games].

We performed a clinico-statistical study of the maxillofacial fracture due to sports during the period of 15 years between 1977 and 1991. Eighty-nine patients were seen with injuries resulting from 21 different sports. The incidence of the fracture was most common in rugby, followed by ski, baseball and soccer. Males were shown to be more prone to maxillofacial fracture than females (5.4:1) and the highest incidence of injuries involved the 20-29 age group followed by the 10-19 age group. The major parts of the fracture were the mandible and the alveolar process. Conservative therapy such as maxillomandibular fixation was usually performed and the clinical course was good. It was suggested that the prevention of the sports-related fracture and the time of returning to sports after the fracture will require further study.

Adolescent↗

Shoulder Injuries in the Throwing Athlete.

The throwing athlete with shoulder pain presents a diagnostic and treatment challenge to the orthopaedic surgeon. Because pitching a baseball requires the arm to accelerate at 7,000 degrees per second, tremendous forces are experienced at the shoulder joint. Electromyographic studies have shown that the larger scapular and trunk muscles are primarily responsible for arm acceleration. The smaller and more fragile rotator cuff muscles play a significant role in decelerating the arm. During the entire throwing mechanism, the rotator cuff and the capsulolabral complex act to stabilize the humeral head on the glenoid fossa. As a result, the labrum, the capsule, and the rotator cuff are frequently the site of shoulder injury in throwers. The diagnosis of injury to these structures is based on the findings from the history, physical examination, and imaging studies. The majority of throwing injuries respond well to a carefully designed rehabilitation program. Athletes who do not improve within 6 months are candidates for surgical repair. The procedure is planned so as to minimize the amount of surgical trauma and thereby to facilitate an early return to sport. Arthroscopy is a valuable first step to confirm the pathologic diagnosis. The arthroscope alone is used to perform subacromial debridement, labral repair, or debridement of undersurface partial-thickness rotator cuff tears. If the athlete has clinical evidence of shoulder instability and arthroscopic evidence of capsular stretch, an open stabilization procedure is performed.

Journal Article↗

Brief communication: Cardiovascular screening practices of major North American professional sports teams.

BACKGROUND: Customary preparticipation screening strategies to detect heart disease in professional athletes have not been examined systematically. OBJECTIVE: To describe the current preparticipation cardiovascular screening process for professional athletes. DESIGN: Screening practices surveyed by questionnaire. SETTING: The 122 major professional sports teams in North America. PARTICIPANTS: Athletic trainers and team physicians. MEASUREMENTS: League recommendations for history taking and physical examination and noninvasive testing were compared with screening recommendations from an American Heart Association consensus panel. RESULTS: All 122 teams have team physicians perform annual screening, including family and personal history taking (100%), physical examination (100%), and lipid panels (108 of 122 [89%]). Diagnostic testing by using electrocardiography was substantially more common (112 of 122 [92%]) than exercise testing and stress echocardiography (21 of 122 [17%]) or echocardiography (16 of 122 [13%]). League recommendations for history taking and physical examination were most complete for Major League Baseball and the National Hockey League, meeting 10 of 12 and 8 of 12 American Heart Association recommendations, respectively. The most comprehensive cardiovascular screening using echocardiography is confined to selected, elite professional basketball players. LIMITATIONS: Data were self-reported by team representatives. CONCLUSIONS: A variety of nonstandardized preparticipation screening strategies for the detection of cardiovascular disease, varying considerably in scope, constitute customary practice among professional sports teams.

American Heart Association↗

Severity-of-illness systems. An overview for medical directors--Part one.

To a baseball fan, the weight of a player's bat is not very important, and the grace with which it is swung has only slightly more appeal. Both these factors matter far less than how often and with what results the bat meets the ball. Similarly, in today's competitive health care environment, the medical director has to focus on results. Not only external demands from constituencies such as insurers, payers, consumers, and regulators, but also internal pressures for sound management decisions require accurate information about the outcomes of care. In this two-part article, the authors examine the contributions that severity-of-illness systems can make to outcomes monitoring.

Centers for Medicare and Medicaid Services, U.S.↗

A call to action. Violent deaths are preventable when information is available.

Collecting these variables, along with routine EMS data, will enhance analysis of the interpersonal violence problem. To assume that this information will be obtained further along in the health-care delivery chain jeopardizes its validity, since there is a likelihood that the story may change. Surveillance or ongoing data collection allow for better estimates and enhanced knowledge about the cost of violence to the health-care system. Timely data are needed to identify important shifts in injury patterns, as well as newly emerging problems. For example, a community may observe an increase in the use of baseball bats as weapons. That information could become vital to prevention. As EMS providers, you are in a unique position to augment public-health surveillance of interpersonal violence by virtue of the fact that you are often the first on scene and can collect data that may not be routinely collected. Without this type of information, planning, implementation and evaluation of successful violence prevention reduction efforts continue to present a major challenge to public health systems.

Adolescent↗

Commotio cordis: sudden cardiac death in athletes.

Commotio cordis due to blunt trauma to the precordium is a rare cause of death in young athletes, occurring less frequently than all of the other athletics-related deaths. Several measures, such as the use of safety baseballs and the use of chest protectors, can help protect young athletes from commotio cordis. In general, sudden cardiac death in athletes is receiving increasing attention from the public as a result of recent deaths of high-profile athletes. Sudden cardiac death, however, is rare, with an estimated 1 out of 200,000 high school athletes at risk each year. However, the personal, physiological, and cardiovascular benefits of athletics far outweigh the risks. Therefore, the message to parents is to allow their children to participate in athletics because the benefits far outweigh the risks.

Adolescent↗

Epidural hematoma after minor oral trauma.

A case report was presented in which a 15-year-old boy was beaten about the head with a baseball bat. Intraoral trauma and facial lacerations were repaired. Since results of the neurological examination were within normal limits, the patient was discharged. The next day, the patient became lethargic; however, the patient's mother did not bring the patient back to the hospital until the routine postoperative visit. At that time, the patient had right hemiparesis, was unable to speak, and was clearly obtunded. A carotid angiogram disclosed a left venous epidural hematoma in the parietal area. A craniotomy was performed with good results. The importance of follow-up neurologic examinations in cases of trauma to the face and head is stressed.

Adolescent↗

Controlled variables: psychology as the center fielder views it.

Perceptual control theory (PCT) views behavior as the control of perception. The central explanatory concept in PCT is the controlled variable, which is a perceived aspect of the environment that is brought to and maintained in states specified by the organism. According to PCT, understanding behavior is a matter of discovering the variables that organisms control. But the possible existence of controlled variables has been largely ignored in the behavioral sciences. One notable exception occurs in the study of how baseball outfielders catch fly balls. In these studies it is taken for granted that the fielder gets to the ball by controlling some visual aspect of the ball's movement. This article describes the concept of a controlled variable in the context of research on fly ball catching behavior and shows how this concept can contribute to our understanding of behavior in general.

Humans↗

How to win the blame game.

At some companies, people are all too quick to point fingers, leaving employees more concerned about avoiding blame than about achieving results. Such organizations, ruled by "CYA," have given blame a bum rap. David Baldwin, a former Major League pitcher, says blame can be a powerful and constructive force. It can be an effective teaching tool that helps people avoid repeating their mistakes. When used judiciously--and sparingly--blame can also prod people to put forth their best efforts, while maintaining both their confidence and their focus on goals. Indeed, blame can have a very positive effect when it's done for the right reasons. The key, then, is the way that blame is managed, which can influence how people make decisions and perform their jobs and ultimately affect the culture and character of an organization. In the course of his research on how Major League Baseball managers make decisions, Baldwin became fascinated by the subject of blame--what functions it serves and how it's best managed. His observations led him to identify five rules of blame, which, he says, apply to any organization, whether it's the LA Dodgers, General Motors, or a small start-up. First, know when to blame--and when not to. Second, blame in private and praise in public. Third, realize that the absence of blame can be far worse than its presence. Fourth, manage misguided blame. And fifth, be aware that confidence is the first casualty of blame. Managers who follow these rules will use blame in the most positive and effective ways possible, Baldwin says. Without these rules, blame becomes an ever-more difficult balancing act: Too much erodes people's confidence, while too little hinders them from reaching their full potential.

Commerce↗

In Seattle, Children's Hospital makes kids more aware of safety. Hospital scores big with Seattle Mariners, Safeco Insurance.

To leverage existing relationships, Children's Hospital (Seattle), the Seattle Mariners baseball team and Safeco Insurance teamed up to educate parents and children about home safety and emergency preparedness. The resulting multi media Safety All Stars program used a colorful, widely distributed safety poster to stimulate participation, and special activities knocked the message "home."

Accidents, Home↗

Nonprescription tinted eyewear optical accuracy study.

BACKGROUND: Nonprescription tinted eyewear, commonly referred to as noncorrective sunglasses or plano sun eyewear, often induce measurable amounts of prismatic deviation. With high-wrap eyewear this effect becomes more pronounced. The purpose of this project was to assess the amount of horizontal and vertical prismatic deviation induced by some popular premium plano sun eyewear intended for use by athletes. METHODS: Prismatic deviations for two identical pairs of high-wrap, steep base curve, plano sun eyewear from each of six prominent national brands were measured in both primary gaze and along a peripheral line of sight 30 degrees to the right of straight-ahead. RESULTS: Most of the eyewear induced base-out and base-down prism in each lens in primary gaze. All eyewear induced base-in prism with temporal gaze and base-out prism with nasal gaze at 30 degrees laterally. Most eyewear induced base-down prism with lateral gaze as well. CONCLUSIONS: Plano sun eyewear is often purchased for use in bright environments during visually demanding sports, such as golf, baseball, and volleyball. It is well-documented that athletes possess superior visual function as compared to nonathletes or lesser-level athletes. Further studies are indicated to determine the impact of this prism on the average wearer and the elite athlete.

Convergence, Ocular↗

The effects of varying resistance-training loads on intermediate- and high-velocity-specific adaptations.

The purpose of this study was to compare changes in velocity-specific adaptations in moderately resistance-trained athletes who trained with either low or high resistances. The study used tests of sport-specific skills across an intermediate- to high-velocity spectrum. Thirty NCAA Division I baseball players were randomly assigned to either a low-resistance (40-60% 1 repetition maximum [1RM]) training group or a high-resistance (70-90% 1RM) training group. Both of the training groups intended to maximallv accelerate each repetition during the concentric phase (IMCA). The 10 weeks of training consisted of 4 training sessions a week using basic core exercises. Peak force, velocity, and power were evaluated during set angle and depth jumps as well as weighted jumps using 30 and 50% 1RM. Squat 1RMs were also tested. Although no interactions for any of the jump tests were found, trends supported the hypothesis of velocity-specific training. Percentage gains suggest that the combined use of heavier training loads (70-90% 1RM) and IMCA tend to increase peak force in the lower-body leg and hip extensors. Trends also show that the combined use of lighter training loads (40-60% 1RM) and IMCA tend to increase peak power and peak velocity in the lower-body leg and hip extensors. The high-resistance group improved squats more than the low-resistance group (p < 0.05; +22.7 vs. + 16.1 kg). The results of this study support the use of a combination of heavier training loads and IMCA to increase 1RM strength in the lower bodies of resistance-trained athletes.

Adult↗

Definition of two types of anterior superior iliac spine avulsion fractures.

Fractures of the anterior superior iliac spine (ASIS) in adolescents are usually due to avulsion of the sartorius origin from the ASIS; however, the authors here report a second type due to avulsion of the tensor fascia lata origin. Eight patients were identified with ASIS avulsion fractures. Type II sartorius avulsion fracture was due to sprinting in various sports (n = 6). The fragment was smaller and displaced anteriorly. Type II tensor fascia lata avulsion fractures were due to swinging a baseball bat. The two muscular males were both injured during the initial phase of batting. The bony fragment was much larger and displaced laterally as confirmed by three-dimensional computed tomography scans.

Adolescent↗

[Experimental studies of skull fracture in the temporal region (author's transl)].

These experimental studies of skull fractures in the temporal region were carried out in co-operation the Faculty of Engineering and the Department of Neurosurgery of Tokyo University. 15 dry human skulls were statically compressed in the bitemporal direction. The results of our experiments are as follows: 1) The forces necessary to produce the first fracture (seperations of the parietotemporal suture) are between 135 kg and 385 kg. (average; 258 kg) 2) The forces necessary to produce the second fractures (true fractures) are between 195 kg and 550 kg. (average; 356.3 kg) 3) The decreases of the inner diameters of skulls from pre-examination to the first fracture are between 0.65 mm and 1.85 mm. 4) The decreases of the inner diameters of skulls from pre-examination to the second fracture are between 1.56 mm and 4.5 mm. 5) The forces necessary to reduce the inner diameters of skulls by 1 milimeter are between 85 kg/mm and 380 kg/mm. (average; 221 kg/mm) The forces necessary to produce a fracture in the temporal region are much less than the forces necessary to do so in the frontal region. In deforming the skull, it is necessary to apply much greater force to the frontal region than it is to the temporal region. The relation between the skull's age and the minimal force to produce the skull fracture is not clear from the results of these experiments. The weights of the skulls were directly related to the minimal force necessary to produce skull fractures. Breaks in the inner table preceded those of the outer table when linear fractures occurred over the compressed area. when depressed fractures formed in the same area, the outer table was broken before the inner table. When the linear fractures formed far from the same area, the outer table was broken before the inner table. From our investigations on sports injuries, those players who died after being hit by golf balls or baseballs showed the same clinical courses as in typical extradural hematoma. Plain X-ray examinations of those fataly injured players did not reveal any skull fractures. Plain X-ray examinations of fractured skulls often failed to reveal the lesion unless the bone fracture was widely separated. On the basis of the above results, it would appear that routine skull films using either anterior-posterior or lateral projections are inadequate for the diagnosis of skull fractures. We have had good results in the examination of skull fracture by using the stereo X-ray method.

Adult↗