摘要:

In briefA 72-year-old man and a 47-year-old woman presented with subdural hematomas more than a month after repeated head injuries incurred while skiing. Neither had lost consciousness. The man had remained asymptomatic for 3 weeks, then had developed a bifrontal headache of increasing intensity and frequency. CT scan revealed a large left subdural hematoma. The woman had experienced intermittent symptoms, including headache, light-headedness, paresthesias, and lower-extremity weakness, for 4½months before MRI revealed bilateral hematomas. Acute hemorrhage into a chronic subdural hematoma may explain the delayed onset of symptoms in these patients.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710363

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

In briefA 17-year-old male high school football player sustained two mild concussions in 7 days. Five weeks later, he ran 50 yd in a game and fell to his knees complaining of severe headache, nausea, facial pain, and difficulty breathing. An immediate on-field physical examination was normal, but the boy progressively became lethargic, stuporous, then comatose. CT scan revealed a right subdural hematoma, perhaps a long-term complication of the two mild concussions. Rules requiring neurocognitive testing after head injury and a physician's written clearance to return to play may be needed to prevent life-threatening injury or permanent neuropsychological sequelae in head-injured athletes.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710364

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

In briefCalcaneal apophysitis, a condition commonly seen in active adolescents, results in pain in the posterior aspect of the os calcis, or heel. Radiographic findings sometimes noted at the calcaneal apophysis, including fragmentation and increased density of the apophysis, were once thought to be evidence of osteochondrosis. These findings are now recognized as a normal stage of apophysis development and appear to be unrelated to the symptoms. Teatment, which generally produces excellent results, includes restriction of physical activity, nonsteroidal anti-inflammatory medication, icing, a heel lift, and a stretching program.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710365

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

In briefA recent case of posterolateral rotatory knee instability in a recreational athlete provides an opportunity to review diagnosis and treatment of this often unrecognized condition. Two simple clinical tests, the external rotational recurvatum test and the posterolateral drawer test, can identify this injury to the arcuate ligament complex. Treatment consists of bracing and physical therapy and, in some cases, surgery.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710366

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

In briefAs part of a comprehensive brief treatment plan, exercise can decrease pain and improve function in people who have rheumatoid arthritis or osteoarthritis. The physician must prescribe an individualized, realistic, and enjoyable exercise program that helps the affected joints and builds fitness. Well-tailored recommendations can also help maximize patient compliance. The physician must also provide appropriate follow-up care, adjusting the exercise program and medications as needed.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710367

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

In briefTibial stress fractures often occur in Patients who participate in running and jumping sports. With rest, most stress fractures heal without incident, though midshaft fractures are more resistant to healing. Bone scans are usually required to confirm the diagnosis. Relative rest, strength training, proper footwear, and treating underlying risk factors are the mainstays of treatment. A new treatment option is a pneumatic brace that the patient can wear when he or she returns to play. Physicians should be prepared to counsel competitive athletes about the risks of returning to play too soon.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710368

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

Recent research shows that increased strength leads to improved balance and functional mobility among older people. Nearly every senior patient can benefit from a basic resistance-training program. By dispelling myths about the inability of older people to increase their strength, physicians can motivate patients to take on this fitness challenge.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710369

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

Runners and cyclists are among the occasional victims of playful, curious, and even downright nasty dogs while exercising outdoors. How exercisers react to the animal's advances often determines whether they will make a safe getaway or a trip to the emergency room.

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710370

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710372

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1993.11710371

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor