PubMed Health⌕ Search

Biomedical subjects

J D Priest

Publications and source records attributed to J D Priest.

17 recordsLinked to original sources

The shoulder of the tennis player.

A depression of the exercised shoulder was found among highly trained tennis players, and in other athletes employing the overhand motion. This deformity is attributed to stretching of the shoulder elevating muscles, and to hypertrophy of the racket-holding extremity. Most symptoms in the shoulders studied were in the region of the rotator cuff, and occurred upon strokes requiring abduction. Shoulder dependency causes a relative abduction of the extremity, which may result in impingement of the rotator cuff. Shoulder droop may lead to thoracic outlet syndrome, and, in the athlete, may simulate scoliosis.

Adult↗

An epidemiological study of high school ice hockey injuries.

Between 1976 and 1983, 42 spinal cord injuries among ice hockey participants were documented in Canada; within a recent 3-week period, three cases involving fractured necks were reported in a metropolitan area of Minnesota. The purpose of this comprehensive epidemiological study was to document rates, types, and severities of injuries incurred among high school varsity hockey players in Minnesota, as a result of participation in the 1982-1983 season, and to determine the variables associated with these injuries. Within a 30-mile radius of the state's major metropolitan area, 12 high school varsity hockey teams were selected for participation. Specific techniques were used to ensure confidentiality, high response rates, and validation of information. Among the players an injury rate of 75 injuries per 100 players was documented. Head and neck injuries accounted for 22% of the total injuries. Increased risks of injury were associated with multiple health-care provision variables and equipment utilized. Potential strategies are identified as a result of these findings.

Adolescent↗

Treatment for lateral epicondylitis: variables related to recovery.

The purpose of this study was to determine the effectiveness of a treatment regime utilised for lateral epicondylitis that is designed to expedite return to activity and to identify variables related to treatment outcomes. Patients treated in a sports medicine clinic between 1978 and 1980 received, by mail, a brief questionnaire investigating the variables of the injuries and level of success of the treatment. Specific techniques ensured confidentiality and validation of information. Through the analyses conducted, an inverse relationship in the total group between the level of success and the duration of pain was documented; for example, the mean durations of pain, 17.3 months, 10.3 months, and 6.3 months correlated, respectively, with the levels of success, 0 (no recovery), 2 (moderate recovery), and 4 (complete recovery). In addition, the application of multiple risk factor analysis, incorporating a maximum of eight variables, identified the degree of pain prior to treatment as the most important predictor of complete recovery; the greater the pain the more likely the complete success of the treatments. The implications of these findings include a need for early case-finding to elicit the most favourable outcomes of the treatment regime studied.

Adult↗

Elbow injuries in gymnastics.

The medical literature contains little about elbow injuries in gymnastics. However, 30 females with 32 elbow injuries from gymnastics were found and studied. Two had Panner's disease (osteochondritis of the humeral capitellum), and all the others had fractures or dislocations. The majority required open or closed procedures. Recommendations to help reduce elbow injuries would include the use of experienced spotters, thicker pads whenever possible, and education of gymnasts in techniques of falling. After injury has occurred immobilization of the elbow for as short a period as necessary and follow-up therapy in a sports-oriented setting are recommended.

Adolescent↗

Concussion incidences and severity in secondary school varsity football players.

The head coaches and players of 103 secondary school football teams in Minnesota were asked to respond to mail questionnaires. Information about injury incidence and concomitant health care provision was elicited. Responses from 3,063 players (81 per cent) yielded a total injury rate of 78 injuries/100 players; 19/100 players reported a concussion experience characterized by loss of consciousness and/or loss of awareness. Of the players who experienced a loss of consciousness, 69 per cent were returned to play the same day. Persistent concussion symptoms were reported as long as six to nine months following the end of the season; six cases involved permanent disabilities. Continued use of illegal techniques of butt-blocking and face-tackling by as many as 40 per cent of the players was associated with apparent increased risks of concussions and concussion symptoms. Players with a prior history of loss of consciousness had a risk of loss of consciousness four times that of the player without a prior history.

Athletic Injuries↗

Humeral hypertrophy in response to exercise.

We compared roentgenograms of the jumeri of a group of professional tennis players and showed that there was pronounced hypertrophy of bone on the playing side. The cortical thickness on that side was greater by 34.9 per cent in men and 28.4 per cent in women compared with the control side. This represents a highly significant hypertrophy of bone in response to exercise.

Adult↗

Elbow injury in women's gymnastics.

This investigation reports on 30 female gymnasts with 32 elbow injuries acquired in gymnastics. Thirty of the injuries were acute fractures and dislocations, and two developed Panner's disease of the humeral capitellum. Primary treatment included 14 closed reductions and 11 open surgical procedures. Those who returned to competition lost an average of 4.1 months. Spotters were not present during nearly 60% of these injuries. The mechanism which led to a variety of elbow injuries was possibility singular: a fall on an outstretched arm. More than twice as many injuries occurred on this mats or the bare floor than on thicker mats. The authors concluded, after the study, that elbow immobilization for as short a time as possible was beneficial to regaining range of motion. We recommend reducing injuries by employing spotters, using thicker mats, and educating young gymnasts in techniques of falling.

Adolescent↗

Tennis shoulder.

A depression of the exercised shoulder was found in skilled tennis players, and in other athletes employing the overhand motion. The deformity is attributed to stretching of the shoulder elevating muscles and hypertrophy of the extremity. Most symptoms were over the anterior rotator cuff, and occurred on abduction of the arm. Shoulder depression results in a relative abduction and abduction causes impingement of the cuff. Shoulder droop may induce thoracic outlet syndrome and may simulate scoliosis in the athlete.

Adult↗