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L Y Hunter

Publications and source records attributed to L Y Hunter.

15 recordsLinked to original sources

Braces and taping.

Many different types of knee supports are available. Some aid the patient to obtain an early full range of motion and normal strength after injury. Others aid in preventing reinjury. Still others provide the patient with comfort and a feeling of support and serve merely as a reminder to exert caution in sports activity. It is the physician's responsibility to learn the capabilities and limitations of these various devices so that they can be used effectively in his or her practice.

Athletic Injuries

The female athlete.

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Athletic Injuries

Painful neuromas in long below-elbow amputees.

During a five-year period, seven patients were seen who failed to wear their protheses because of neuromas in their amputation stumps. Proximal ligation of the median, radial, and ulnar nerves allowed prosthetic wear and use in every instance. The advantage of this technique used at the time of the original amputation or at an early elective time will aid in the rapid rehabilitation of the patient.

Adult

Dorsal defect of the patella with cartilaginous involvement. A case report.

This is a report of a symptomatic cartilaginous defect associated with the dorsal patellar defect. Previously regarded as only an osseous curiosity, this defect can be associated with symptoms of pain after long periods of standing and exercise. Treatment by curettage of the area with debridement of the overlying fibrillated cartliage relieved the pain and produced radiographic evidence of healing of the osseous defect.

Adolescent

Radiographic changes following anterior cervical fusion.

In nine patients who underwent anterior cervical fusions for cervical spondylosis, preoperative cervical spine films were compared with radiographs taken seven to 15 years after fusion. Eight of the nine patients were found to have radiographic evidence of increased degenerative diseases located primarily below the level of fusion but occasionally occurring both above and below the fusion. Whether these degenerative changes are the body's response to altered mechanical forces on joints next to a now immobile spinal segment or whether these changes merely represent the natural progression of the degenerative disease process could not be ascertained from this study. Perhaps both factors contributed.

Adult

Back pain and vertebral changes simulating Scheuermann's disease.

Nineteen adolescent patients who presented with mechanical-type back pain and vertebral changes consisting of intravertebral disc herniation, disc space narrowing, and minimal wedge deformity are described. The symptoms and signs were primarily located at the dorsolumbar junction. A specific strenuous activity or traumatic event was clearly associated with the onset of symptoms in 16 of the 19 patients. Spondylolysis or spondylolisthesis (grade I or II) at L5-S1 was also found in 32% of the patients. Most patients responded well to a program of rest, exercises, salicylates, and temporary avoidance of the particular activity involved. Some required orthoses to obtain relief. No patient had a progressive kyphotic deformity during the follow-up period. The relationship of this condition to increased stresses applied to the immature spine, particularly in a preflexed posture, is emphasized.

Adolescent

The saphenous nerve: its course and importance in medial arthrotomy.

Both lower extremities of 10 cadavers (20 specimens) were dissected to delineate the course of the saphenous nerve and its two major divisions (sartorial and infrapatellar branches). The course of the saphenous nerve followed the standard text description, except at the point in the sartorius muscle where the infrapatellar branch exited to become a subcutaneous structure. The location of this branch varied slightly in each cadaver but was the same for both lower extremities in the same cadaver. The location of the sartorial nerve and its relationship to the tendons of the pes anserinus was consistant in all 20 specimens. Since 69% of a group of 75 patients found altered sensation significant after routine sectioning of the infrapatellar nerve following medial meniscectomy, a group of surgeons at the University of Michigan is now protecting the infrapatellar branch of the saphenous nerve at operation. Early results on a small number of patients indicate that no alteration in sensation occurs if the nerve is carefully retracted.

Cadaver

Dismounts in gymnastics: should scoring be reevaluated?

Eleven high school and college gymnasts who sustained 12 major knee injuries were surveyed. Seven were injured as the result of dismounts from the beam of the uneven bar. Five of the seven used a twist in the maneuver. Present dismounts scoring constitutes a significant amount of the total score of a gymnastic routine. We question the need to reevaluate gymnastic scoring to encourage less difficult dismounts in an attempt to reduce the number of significant knee injuries.

Female