Neurologic athletic head and neck injuries:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | Clinics in sports medicine
17,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII, 210 S. Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Neurologic athletic head and neck injuries |c Robert C. Cantu, guest ed. |
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| adam_text | NEUROLOGIC ATHLETIC HEAD AND NECK INJURIES
CONTENTS
Preface xi
Robert C. Cantu
Epidemiology of Athletic Head Injury 1
Kenneth S. Clarke
Although more common in collision sports, head injuries (for this
article confined to cerebral neurotrauma) may occur in virtually
any form of athletics. A few such injuries result in death, espe¬
cially the second impact syndrome and subdural hematoma. The
more minor cerebral injuries, mostly concussions, have wide¬
spread misunderstanding in definition and severity. These misun¬
derstandings in the field have contributed to a paucity of reliable
epidemiological information about its actual frequency. The con¬
cerns accompanying cerebral insult are discussed more than stud¬
ied, but much can be gained in principle from the history of
attention to concussions in football.
On the Field Evaluation of Athletic Head Injuries 13
W. Lee Warren, Jr, and Julian E. Bailes
This article reviews the diagnosis and management of athletic
related head injury. Cerebral concussion, diffuse axonal injury,
brain contusion, and the spectrum of intracranial hematoma is
discussed. Emphasis is placed on the need to evaluate when it is
prevented from further participation.
Outcome After Mild Head Injury 27
Stephen N. Macciocchi, Jeffrey T. Barth, and
Lauren M. Littlefield
Mild sports head injury is common, but few studies have been
completed. A number of factors, including injury biomechanics,
CLINICS IN SPORTS MEDICINE VOLUME 17 • NUMBER 1 • JANUARY 1998 V
severity, frequency, and complications are important in under¬
standing morbidity associated with mild head injury. At present,
empirical studies are required to address many complex ques¬
tions regarding outcome.
Second Impact Syndrome 37
Robert C. Cantu
Second impact syndrome (SIS) occurs when an athlete who has
sustained an initial head injury, most often a concussion, sustains
a second head injury before symptoms associated with the first
have fully cleared. While most commonly reported in football,
the SIS can occur during any sport that can produce head blows.
Any athlete still complaining of post concussion symptoms after
a head injury must not be allowed to return to play.
Return to Play Guidelines After a Head Injury 45
Robert C. Cantu
Presently there are no universally accepted definitions of the
grades of concussion or criteria for when to allow the athlete to
return to competition after a head injury. What is agreed upon is
that in order to avoid cumulative brain damage and the second
impact syndrome, no athlete still suffering post concussion symp¬
toms should return to competition. This article is meant to serve
only as a guideline as the final decision in every instance is a
clinical judgement.
Epilepsy and Athletics 61
Robert C. Cantu
This article reviews the debate regarding epileptic patients and
their participation in sports, particularly contact (i.e., basketball,
soccer, baseball) and collision (i.e., football, rugby, hockey) sports.
Epilepsy is defined and described, as well as the dangers and
benefits of exercise to the epileptic patient, including participation
in athletic competition.
Medicolegal Aspects of Athletic Head Injury 71
Phillip M. Davis and Maura K. McKelvey
This article reviews the legal aspects of head injuries resulting
from a variety of athletic activities, focusing primarily on head
and brain injuries resulting from the playing of football, boxing,
horseback riding, winter sports (hockey and skiing), and soccer.
Part 1 give a general overview of the occurrence of head injuries
in athletics and the potential for litigation. Part 2 reviews the
history of and increase in sports injury litigation, as well as
resulting changes in the law. In Part 3, the current status of
athletic head injury litigation, the parties involved, types of claims
brought, and viable defenses are discussed. Finally, Part 4 re¬
views different ways to reduce athletic head injury litigation
through better equipment design and adequate warning and in¬
structions for users and coaches.
vi CONTENTS
Epidemiology of Athletic Neck Injury 83
Kenneth S. Clarke
Neck injuries in sports are common, typically debilitating, and
quite predictable in retrospect by mechanism of injury as to
one of four natures—sprains/strains, fractures, brachial plexus
pinches/stretches, and spinal cord injury. Of these, the spinal
cord injury, whether a concussion or contusion or physical dis¬
ruption, is obviously the most severe and also, ironically, the
best tracked because of its definition and notoriety when it is
experienced. This article discusses the essence of what has been
learned epidemiologically over recent decades since the advent
of organized attention to spinal cord injuries among athletes.
On the Field Evaluation of Athletic Neck Injury 99
W. Lee Warren, Jr, and Julian E. Bailes
This article reviews the on the field management of athletic cervi¬
cal spine and spinal cord injury. The various types of injuries are
discussed, as well as the team approach to evaluation, immobili¬
zation, and transport of the injured athlete. An overview of treat¬
ment rationale and decisions regarding the return of the spine
injured or spinal cord injured player to competition is given.
Emphasis is placed on the prevention of further injury by mishan¬
dling the injured athlete.
Athletic Spinal Cord and Spine Injuries 111
Jack E. Wilberger, Jr
Unfortunately, spine and spinal cord injuries occur frequently in
athletic competition. Most, however, are minor injuries requiring
short term medical treatment and vigilance. This article briefly
reviews the athlete who suffers a spinal cord injury in competi¬
tion while focusing on initial management.
The Cervical Spinal Stenosis Controversy 121
Robert C. Cantu
Cervical spinal cord symptoms after a spine injury from contact
sports require a more precise work up to detect cervical spinal
stenosis than readiographic bone measurements alone can pro¬
vide. Imaging technologies such as MRI, contrast positive CT,
and myelography more accurately identify true spinal stenosis
and allow for safer return to play decisions.
Assessment and Rehabilitation of the Athlete With a
Stinger 127
Stuart M. Weinstein
Stingers are the most common athletically induced nerve injury
of the cervical spine, but often underdiagnosed or inadequately
CONTENTS vii
assessed. In addition to neurologic dysfunction, biomechanical
and postural faults are frequently associated with stingers. This
article addresses the pathomechanics of the stinger, comprehen¬
sive clinical assessment, appropriate diagnostic testing, and a
thorough review of rehabilitation techniques to allow return to
competition. The principles and practical suggestions can be ap¬
plied to most cervical spine injuries.
Guidelines for Return to Contact or Collision Sport After a
Cervical Spine Injury 137
Robert C. Cantu, Julian E. Bailes, and Jack E. Wilberger, Jr
Pro football is a violent, dangerous sport. To play it other than
violently would be imbecilic, according to the late Vince Lom
bardi. Many sports hold the potential for serious permanent spine
and spinal cord injury. Fortunately, the incidence of catastrophic
spine and spinal cord injuries has dramatically declined in the
past 10 to 15 years. This decline is, in part, attributable to the
development of sports related spine injury registries, the educa¬
tion of the pathomechanics of these injuries, and the implementa¬
tion of appropriate preventive measures. This article focuses on
sports related spinal cord and nerve injuries, ranging from the
mild stinger syndrome to complete quadriplegia, with empha¬
sis on recommendations for return to competition.
Medicolegal Aspects of Athletic Cervical Spine Injury 147
Phillip M. Davis and Maura K. McKelvey
Approximately 10,000 Americans suffer catastrophic cervical spi¬
nal cord injuries each year. Most are caused by automobile acci¬
dents; however, many of these crippling injuries are related to
participation in sports. This article evaluates the legal aspects of
neck injury resulting from participation in a number of athletic
events, including football, wrestling, gymnastics, snow skiing, ice
hockey, diving, and surfing.
Intracranial Injuries Resulting From Boxing 155
Allan J. Ryan
The collected experience for around the world of 659 fatalities in
professional prize fighting and amateur boxing over the past 80
years averages less than eight per year. The occurrence of acute
and chronic nonfatal encephalopathy cannot be directly related
to either the fatalities or the relative risk of exposure because
accurate figures for the numbers of bouts and numbers of expo¬
sures for individual fighters are not available. Many antemortem
and postmortem studies, especially during the last half of this
period, demonstrate that acute and chronic brain damage among
fighters is significantly common and is related directly to the
number of bouts fought for each fighter.
viii CONTENTS
Fatalities From Head and Cervical Spine Injuries
Occurring in Tackle Football: 50 Years Experience 169
Frederick O. Mueller
Football head and cervical spine fatalities have been dramatically
reduced in the decades from 1975 to 1984 and 1985 to 1994,
compared with the decade from 1965 to 1974. The one preventive
measure that has been given most of the credit is the 1976 rule
change prohibiting initial contact with the head when blocking
and tackling. Will it be possible to continue the reduction in head
and cervical spine fatalities in the next decade, 1995 to 2004, or
will it be necessary for more significant changes to take place?
Spinal Injuries in Ice Hockey 183
Charles H. Tator, James D. Carson, and Virginia E. Edmonds
SportSmart Canada maintains a registry of spinal injuries in
hockey and has documented 214 cases of fracture or dislocation
of the spine, occurring mainly in North America since 1966. The
current annual incidence is approximately 15 cases per year and
may be declining as a result of intense prevention programs.
Most of the injuries have been to the cervical spine in players 16
to 20 years of age playing supervised games. Checking from
behind causing impact of the head against boards has been an
important cause of injury, especially for those injuries resulting
in neurological deficit.
Rugby Injuries to the Cervical Spine and Spinal Cord:
A 10 Year Review 195
Alan T. Scher
A 10 year review (1987 1996) of injuries sustained to the spine
and spinal cord in rugby players with resultant paralysis has
been undertaken. This article reviews that the incidence of serious
rugby spine and spinal cord injuries in South Africa has increased
over the 10 year period reviewed, despite stringent new rules
instituted in an attempt to decrease the incidence of these injuries.
The mechanisms of injury, as previously reported, remain the
same as well as the phases of game responsible for injury of the
tight scrum, tackle, rucks, and mauls. Two new observations are
reported: the first is related to the occurrence of spinal cord
concussion with transient paralysis, and the second is related to
the increased incidence of osteoarthritis of the cervical spine in
rugby players.
Index 207
Subscription Information Inside back cover
CONTENTS ix
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| spelling | Neurologic athletic head and neck injuries Robert C. Cantu, guest ed. Philadelphia [u.a.] Saunders 1998 XII, 210 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in sports medicine 17,1 Athletic Injuries diagnosis Craniocerebral Trauma diagnosis Head injuries Diagnosis Neck Injuries diagnosis Neck injuries Diagnosis Sports injuries Diagnosis Wirbelsäulenverletzung (DE-588)4132882-6 gnd rswk-swf Sportverletzung (DE-588)4056436-8 gnd rswk-swf Schädel-Hirn-Trauma (DE-588)4127937-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Wirbelsäulenverletzung (DE-588)4132882-6 s Sportverletzung (DE-588)4056436-8 s DE-604 Schädel-Hirn-Trauma (DE-588)4127937-2 s Cantu, Robert C. Sonstige oth Clinics in sports medicine 17,1 (DE-604)BV002806345 17,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007963080&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Neurologic athletic head and neck injuries Clinics in sports medicine Athletic Injuries diagnosis Craniocerebral Trauma diagnosis Head injuries Diagnosis Neck Injuries diagnosis Neck injuries Diagnosis Sports injuries Diagnosis Wirbelsäulenverletzung (DE-588)4132882-6 gnd Sportverletzung (DE-588)4056436-8 gnd Schädel-Hirn-Trauma (DE-588)4127937-2 gnd |
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| title | Neurologic athletic head and neck injuries |
| title_auth | Neurologic athletic head and neck injuries |
| title_exact_search | Neurologic athletic head and neck injuries |
| title_full | Neurologic athletic head and neck injuries Robert C. Cantu, guest ed. |
| title_fullStr | Neurologic athletic head and neck injuries Robert C. Cantu, guest ed. |
| title_full_unstemmed | Neurologic athletic head and neck injuries Robert C. Cantu, guest ed. |
| title_short | Neurologic athletic head and neck injuries |
| title_sort | neurologic athletic head and neck injuries |
| topic | Athletic Injuries diagnosis Craniocerebral Trauma diagnosis Head injuries Diagnosis Neck Injuries diagnosis Neck injuries Diagnosis Sports injuries Diagnosis Wirbelsäulenverletzung (DE-588)4132882-6 gnd Sportverletzung (DE-588)4056436-8 gnd Schädel-Hirn-Trauma (DE-588)4127937-2 gnd |
| topic_facet | Athletic Injuries diagnosis Craniocerebral Trauma diagnosis Head injuries Diagnosis Neck Injuries diagnosis Neck injuries Diagnosis Sports injuries Diagnosis Wirbelsäulenverletzung Sportverletzung Schädel-Hirn-Trauma Aufsatzsammlung |
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