Biomedical subjects

M K Mudge

Publications and source records attributed to M K Mudge.

5 recordsLinked to original sources

PubMed2000

Overuse injuries in the elite rock climber.

UNLABELLED: Closed rupture of the flexor tendon sheath has been known to occur in the elite rock climbing population. However, only one study has investigated the prevalence of this entity. PURPOSE: To examine an elite climbing group in this country for the prevalence of pulley rupture and report on other commonly occurring injuries in the hand and elbow. METHODS: 42 elite rock climbers competing at the U.S. national championships were evaluated by an injury survey and concentrated examination of the hand and elbow. Manual testing for clinical bowstringing was done for each finger, by the same examiner. RESULTS: 11 subjects (26%) had evidence of flexor pulley rupture or attenuation, as manifested by clinical bowstringing. Injury to the PIP collateral ligament had occurred in 17 subjects (40%). Other commonly occurring injury syndromes are described. CONCLUSION: Our results and others suggest that closed traumatic pulley rupture occurs with significant frequency in this population. In addition, all subjects with this injury continued to climb at a high standard and reported no functional disability.

Adolescent↗

PubMed1998

Radiographic osteoarthritis in the hands of rock climbers.

Sixty-five rock climbers were radiographically evaluated for osteoarthritis of the finger joints. Only long-time climbers were chosen for this study. The average years of climbing experience of these subjects was 19.8 (range, 8 to 39). The majority of the subjects had climbed at an elite level for many years. Plain radiographs of the hands were scored using the Kellgren-Lawrence scale and were compared with scores of an age-matched control group. An increased rate of osteoarthritis for several joints was found in the climber group; however, no significant difference in the overall prevalence of osteoarthritis was found between the two groups.

Adult↗

PubMed1990

Hand involvement in multiple hereditary exostosis.

In summary, patients with multiple hereditary exostosis often inherit hand involvement but rarely show hand deformity. The principal area of involvement appears to be around the MCP joint but the PIP joint is the most common area of deformity. Metacarpal shortening usually does not cause functional problems and need not be treated. Angular deformity, though rare, does cause problems and needs surgical treatment. Unfortunately, there is no evidence that prevention of deformity is possible by early excision of osteochondromas. Treatment, therefore, requires both osteochondroma excision and closing-wedge corrective osteotomy.

Adolescent↗

PubMed1987

Treatment of neuromas about a major amputation stump.

In five patients, with intractable pain from neuromas that developed after amputations at the wrist or forearm, the neuromas were resected and the median nerve anastamosed to the ulnar nerve under the pronator teres muscle. In one patient, the anterior interosseous nerve was also anastamosed to the superficial radial nerve under the muscles of the forearm. Patients reported an 80% to 90% reduction in pain. This procedure is limited to patients in which all other treatments have failed.

Adult↗

PubMed1984

Rotator cuff tears associated with os acromiale.

We studied the cases of eight patients, one with bilateral involvement, who had a rotator cuff tear and an associated lesion delineated roentgenographically - a separate fragment of the acromion that we believe to be an ununited ossification center of the acromion (os acromiale). In reviewing the literature, we found no mention of an association between a rotator cuff tear and os acromiale. It is highly unlikely that such an association is coincidental because it appears that in our patients abnormal motion existed through the site of fibrous union of the acromion and may have contributed to the impingement of the acromion on the rotator cuff. Repair of the rotator cuff with removal of the loose fragment of acromion was done in the six patients who had operative treatment.

Acromion↗