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Head injury AND fit

Kyle T Aune, Joseph M Powers
BACKGROUND: Extreme conditioning programs (ECPs) are fitness training regimens relying on aerobic, plyometric, and resistance training exercises, often with high levels of intensity for a short duration of time. These programs have grown rapidly in popularity in recent years, but science describing the safety profile of these programs is lacking. HYPOTHESIS: The rate of injury in the extreme conditioning program is greater than the injury rate of weightlifting and the majority of injuries occur to the shoulder and back...
October 19, 2016: Sports Health
Enrico Bellato, Roberto Rotini, Alessandro Marinelli, Enrico Guerra, Shawn W O'Driscoll
BACKGROUND: Chronic coronoid deficiency can occur subsequent to coronoid fracture malunion/nonunion or to coronoid hypoplasia or dysplasia resulting from injury during development. Several surgical options have been described to treat this difficult condition, but results are equivocal. We hypothesized that a modified coronoid reconstruction using a radial head osteochondral graft could restore elbow stability and congruity and that a technique involving rigid internal fixation would promote graft union...
October 14, 2016: Journal of Shoulder and Elbow Surgery
Alexander Leung, Patrick Bonasso, Kevin Lynch, Dustin Long, Richard Vaughan, Alison Wilson, Jorge Con
Secondary overtriage is a term that describes patients who are discharged home shortly after being transferred, an indication that transfer and hospitalization were unnecessary. The study goal was to identify factors associated with secondary triage. A statewide trauma registry was used to identify trauma patients aged less than 18 years during a 6-year period (2007-2012) who were discharged within 48 hours from arrival and did not undergo a surgical procedure. We compared those that were treated at initial facility and those transferred to a second facility using clinical indices including patterns of injury pattern using multivariate logistic regression...
September 2016: American Surgeon
Ji-Yong Kwak, Hyung-Bin Park, Gu-Hee Jung
OBJECTIVES: The purpose of this study was to identify the optimal position for a precontoured-locking plating (PHILOS(®)) of the proximal humerus in Asians in terms of conformity and to determine the prevalence of screw exits in the position of the highest conformity. METHODS: Twenty adult humeri and 14 cadaveric shoulders were included in this study. After placing the precontoured plate in the well-fitted position on the humerus, we measured the distance between the upper margin of the plate and the tip of greater tuberosity (GT) (distance A) and the distance between the anterior margin of the plate and lateral border of the bicipital groove (BG) (distance B)...
October 2016: Archives of Orthopaedic and Trauma Surgery
Wu Hao, Lu Cheng, Chen Ming
BACKGROUND: We investigated the curative effects of using loose-fitting radial head prosthesis replacement to treat unstable comminuted fracture of radial head. METHODS: From January 2010 to August 2012, radial head prosthesis replacement was used to treat eight cases of Mason's type III or IV radial head fractures. Three cases were in left side and 5 cases were in right side. Using the Mason criteria, 6 cases were classified as type III and 2 cases as type IV. All patients had fresh fractures...
July 26, 2016: Minerva Chirurgica
Winward Choy, Zachary A Smith, Stephanus V Viljoen, Timothy E Lindley, Nader S Dahdaleh
We report a unique instance of a 66-year-old male patient with an unstable three-column thoracic extension injury at the level of T4/5 who was treated with recumbency and bracing without surgery. A posterior long segment fixation was attempted three times on two separate occasions over the course of a week with failure due to difficulty in ventilating the patient during prone positioning, cardiopulmonary arrest, and hemodynamic instability during prone positioning for surgery. The decision then was to treat this fracture with recumbency...
2016: Curēus
Zachary Y Kerr, Sara L Dalton, Karen G Roos, Aristarque Djoko, Jennifer Phelps, Thomas P Dompier
BACKGROUND: In Indiana, high school football coaches are required to complete a coaching education course with material related to concussion awareness, equipment fitting, heat emergency preparedness, and proper technique. Some high schools have also opted to implement a player safety coach (PSC). The PSC, an integral component of USA Football's Heads Up Football (HUF) program, is a coach whose primary responsibility is to ensure that other coaches are implementing proper tackling and blocking techniques alongside other components of the HUF program...
May 2016: Orthopaedic Journal of Sports Medicine
Eun-Kyung Park, Jun-Young Lim, In-Sik Yun, Ju-Seong Kim, Su-Heon Woo, Dong-Seok Kim, Kyu-Won Shim
The authors studied to demonstrate the efficacy of custom-made three-dimensional (3D)-printed titanium implants for reconstructing skull defects. From 2013 to 2015, 21 patients (8-62 years old, mean = 28.6-year old; 11 females and 10 males) with skull defects were treated. Total disease duration ranged from 6 to 168 months (mean = 33.6 months). The size of skull defects ranged from 84 × 104 to 154 × 193 mm. Custom-made implants were manufactured by Medyssey Co, Ltd (Jecheon, South Korea) using 3D computed tomography data, Mimics software, and an electron beam melting machine...
June 2016: Journal of Craniofacial Surgery
Meredith Chapman, Kirrilly Thompson
It has been suggested that one in five riders will be injured due to a fall from a horse, resulting in severe head or torso injuries. Attempts to reduce injury have primarily focussed on low level risk controls, such as helmets. In comparison, risk mitigation in high risk workplaces and sports is directed at more effective and preventative controls like training, consultation, safe work procedures, fit for purpose equipment and regular Workplace Health and Safety (WHS) monitoring. However, there has been no systematic consideration of the risk-reduction benefits of applying a WHS framework to reducing horse-related risks in workplaces, let alone competition or leisure contexts...
2016: Animals: An Open Access Journal From MDPI
Frederike Schirmer, Holger Muggenthaler, Michael Hubig, Sebastian Schenkl, Markus Koch, Reinhard Blickhan, Gita Mall
Forensic case work as well as literature shows that severe head injuries, e.g., with basilar fractures and cerebral hemorrhages due to stomps can be seen; however, there is no data basis concerning contact forces and potential influencing factors. The objective of this work was to generate a data basis of contact forces in stomping by performing experimental measurements and subsequent statistical analyses. Fifty-five volunteers participated in the present study. Each participant performed several stomps onto force plates with sturdy/soft footwear as well as with/without an elastic layer imitating the scalp...
May 2016: International Journal of Legal Medicine
Nikki Miller Ferguson, Steven L Shein, Patrick M Kochanek, Jim Luther, Stephen R Wisniewski, Robert S B Clark, Elizabeth C Tyler-Kabara, P David Adelson, Michael J Bell
OBJECTIVES: The evidence to guide therapy in pediatric traumatic brain injury is lacking, including insight into the intracranial pressure/cerebral perfusion pressure thresholds in abusive head trauma. We examined intracranial pressure/cerebral perfusion pressure thresholds and indices of intracranial pressure and cerebral perfusion pressure burden in relationship with outcome in severe traumatic brain injury and in accidental and abusive head trauma cohorts. DESIGN: A prospective observational study...
May 2016: Pediatric Critical Care Medicine
Ana M Castaño-Leon, David Lora, Pablo M Munarriz, Santiago Cepeda, Igor Paredes, Javier de la Cruz, Pedro A Gómez Lopez, Alfonso Lagares
Prognostic models that were developed by the International Mission on Prognosis and Analysis of Clinical Trials in Traumatic Brain Injury (IMPACT) study group and the Corticosteroid Randomization After Signification Head injury (CRASH) collaborators are the most commonly used prognostic models for outcome after traumatic brain injury (TBI). Although they have been considered to be useful tools in clinical practice, a continuous process of external validation in recent cohorts of different populations is necessary...
September 1, 2016: Journal of Neurotrauma
Ting Hway Wong, Gita Krishnaswamy, Nivedita Vikas Nadkarni, Hai V Nguyen, Gek Hsiang Lim, Dianne Carrol Tan Bautista, Ming Terk Chiu, Khuan Yew Chow, Marcus Eng Hock Ong
BACKGROUND: Anatomy-based injury severity scores are commonly used with physiological scores for reporting severity of injury in a standardized manner. However, there is lack of consensus on choice of scoring system, with the commonly used injury severity score (ISS) performing poorly for certain sub-groups, eg head-injured patients. We hypothesized that adding a dichotomous variable for polytrauma (yes/no for Abbreviated Injury Scale (AIS) scores of 3 or more in at least two body regions) to the New Injury Severity Score (NISS) would improve the prediction of in-hospital mortality in injured patients, including head-injured patients-a subgroup that has a disproportionately high mortality...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Adam E M Eltorai, Chad Simon, Ariel Choi, Katie Hsia, Christopher T Born, Alan H Daniels
BACKGROUND: Motorcycle helmets reduce both motorcycle-related fatalities and head injuries. Motorcycle crashes are a major public health concern which place economic stress on the U.S. healthcare system. DISCUSSION: Although statewide universal motorcycle helmet laws effectively increase helmet use, most state helmet laws do not require every motorcycle rider to wear a helmet. Herein, we propose and outline the solution of implementing federal motorcycle helmet law, while addressing potential counterarguments...
2016: BMC Public Health
Jonathan C Levy, Nathan T Formaini, Jennifer Kurowicki
BACKGROUND: Radial head arthroplasty (RHA) is a popular method of treatment for complex fractures of the radial head. The purpose of this study was to investigate patient outcomes and radiographic findings associated with a single anatomic monopolar press-fit radial head system commonly used for the treatment of radial head fractures. METHODS: A retrospective review of prospectively collected data was performed for a consecutive series of patients treated with a press-fit anatomically designed RHA between November 2007 and April 2014...
May 2016: Journal of Shoulder and Elbow Surgery
Jun Xu, Shi Shang, Hongsheng Qi, Guizhen Yu, Yunpeng Wang, Peng Chen
The safety performance of an electric self-balancing scooter (ESS) has recently become a main concern in preventing its further wide application as a major candidate for green transportation. Scooter riders may suffer severe brain injuries in possible vehicle crash accidents not only from contact with a windshield or bonnet but also from secondary contact with the ground. In this paper, virtual vehicle-ESS crash scenarios combined with finite element (FE) car models and multi-body scooter/human models are set up...
April 2016: Accident; Analysis and Prevention
C R Ponce, M P Genecin, G Perez-Melara, M S Livingstone
BACKGROUND: Neuroscience research on non-human primates usually requires the animals to sit in a chair. To do this, typically monkeys are fitted with collars and trained to enter the chairs using either a pole, leash and jump cage. Animals may initially show resistance and risk injury. We have developed an automated chair-training method that minimizes restraints to ease the animals into their chairs. NEW METHOD: We developed a method to automatically train animals to enter a primate chair and stick out their heads for neckplate placement...
April 1, 2016: Journal of Neuroscience Methods
Alan McCall, Gregory Dupont, Jan Ekstrand
PURPOSE: (1) To quantify current practice at the most elite level of professional club football in Europe with regard to injury prevention strategy; (2) to describe player adherence and coach compliance to the overall injury prevention programme. METHODS: A structured online survey was administered to the Head medical officers of 34 elite European teams currently participating in the UEFA Elite Club Injury Study. The survey had 4 sections; (1) risk factors for injury, (2) assessment and monitoring of injury risk, (3) prevention strategies and (4) coach compliance and player adherence to the injury prevention process...
June 2016: British Journal of Sports Medicine
T J Dickson, S Trathen, F A Terwiel, G Waddington, R Adams
This research explored associations between helmet use and head injuries in snowsports by investigating reported snowsport injuries in Western Canada from 2008-2009 to 2012-2013. The key finding was that increased helmet use (from 69% to 80%) was not associated with a reduction in reported head injuries. Over the study period, the average rate of reported head injuries was 0.2/1000 skier visits, with a statistically significant variation (P < 0.001). The line of best fit showed an non-significant upward trend (P = 0...
December 21, 2015: Scandinavian Journal of Medicine & Science in Sports
Sarah Nur, Marshall Kendall, J Michio Clark, T Blaine Hoshizaki
Goaltenders in ice hockey are the only players that are on the ice for the entire game. Their position exposes them to impacts from collisions with other players, falls to the ice, and puck impacts. In competitive ice hockey leagues, head injuries resulting from puck impacts have been reported with some cases resulting in ending the player's career. Considerable research has been conducted to assess the performance of hockey helmets; however, few have assessed the performance of goaltenders' masks. The purpose of this study was to compare the capacity of four goaltenders' masks for the protection from puck impact as measured by head acceleration and peak force...
2015: Sports Biomechanics
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