Boxing: Medical Aspects

Unterharnscheidt, Friedrich; Taylor Unterharnscheidt, Julia

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Table of contents
  • Cover
  • Title Pagev
  • Copyright Pagevi
  • Table of contentsvii
  • Prefacexiii
  • Introduction1
  • Chapter 1. Impact Mechanics and Neuropathology of Closed Head Injury1
  • Classification of Head and Brain Injuries5
  • Injury Producing Mechanisms7
  • Clinical Diagnoses14
  • Types of Injuries of the Brain and Its Enveloping Structures16
  • Chapter 2. General Aspects of the Biomechanics of Boxing45
  • Measurement of Head Acceleration in Boxers45
  • Relationship between Weight of Boxing Gloves and Severity of Impact48
  • Influence of Head Guards and Canvas49
  • Pneumatic Boxing Gloves52
  • Thumbless or Thumb-restrained Boxing Gloves52
  • Discussion of Some Ideas and Terms used in Boxing52
  • Chapter 3. The so-called Second Impact Syndrome54
  • Chapter 4. Prize Ring Rules60
  • Knocked Out of the Ring60
  • Double Knock Outs61
  • Fewest Knock Outs61
  • Chapter 5. Punches62
  • Blows against the Side of the Rib63
  • So-called Cork-screw Punch63
  • Effect of a Blow under the Heart63
  • Solar Plexus Blows65
  • Punches into the Stomach Region65
  • Chapter 6. Illegal Punches66
  • Blows with an Open Boxing Glove ('Lacing Punch')67
  • 'Lacing Punch' to Rip Open the Brow and produce a Quick T K O67
  • 'Lace Slasher' to Injure the Nose68
  • 'Lace Punch' to the Mouth69
  • Eye Thumbing and Gouging69
  • Blows with the Elbow70
  • Head Butting72
  • The 'Nodder'72
  • Blows below the Waistline73
  • The so-called 'Rabbit Punch'73
  • Chapter 7. Importance of Animal Models for the Interpretation of Boxing Injuries76
  • Models with Translational Acceleration77
  • Non-deforming Rotational Acceleration of the Head using Head Acceleration Device II (HAD-Il)80
  • Chapter 8. Injuries Apart from CNS Damage97
  • Facial Injuries97
  • Chapter 9. Eye Injuries161
  • Case Histories of Eye Injuries in Boxers161
  • Classification of Eye Injuries by DOGGART164
  • Chapter 10. Hearing Impairments194
  • Case Histories of Hearing Loss in Boxers194
  • Series of PAULSEN and HUNDHAUSEN195
  • Audiometric Findings in the Different Weight Classes195
  • Threshold Audiometric Findings in Boxers Related to the Total Number of Bouts196
  • Extent of the Hearing Loss in the Different Weight Classes200
  • Extent of the Hearing Loss in Regard to the Number of Bouts201
  • Classification of Hearing Acuity after Head Injury202
  • Relationship between Localization of Impact and Hearing Loss203
  • Above - Threshold Audiometry: The Localization of Hearing due to the Result of above threshold Audio203
  • Hearing Impairment as an Occupational Hazard in Professional Boxers204
  • Chapter 11. Injuries to the Hand, Wrist, Muscles and Peripheral Nerves206
  • Rib Fractures in Boxers214
  • Traumatic Pneumothorax214
  • Muscle Ruptures in Boxers215
  • Chapter 12. Injuries to Internal Organs217
  • Cardiac Injuries217
  • Acute Renal Damage221
  • Chapter 13. Damage to the Central Nervous System224
  • Consciousness224
  • Different Knock out Mechanisms225
  • Commotio cerebri (cerebral concussion)229
  • Boxers Hanging draped over the Ring Ropes233
  • 'Pummeling Knock out' ('Verhämmerungs Knock out')237
  • Loss of Posture and Amnesia due to Anemia of the Brain237
  • Oculo-cardiac Reflex Mechanisms (ASCHNER-DAGNINI Reflex)237
  • Knock down with Loss of Muscle Tone241
  • Different Forms of Cerebral Reflex Knock outs241
  • Body Knock outs242
  • Mechanical Irritation of the Carotid Sinus242
  • Frequency of the Different Forms of the Carotid Sinus Reflexes244
  • The Reflex Pathway of the Different Types244
  • Symptomatology of the Provoked Hyperactive Carotid Sinus Reflex247
  • Sequels of Blows at the Carotid Sinus in Boxing249
  • Chapter 14. Acute Clinical Findings272
  • Survived Pathological Injuries272
  • Survived Subarachnoid Hemorrhages272
  • Survived Subdural Hemorrhages and Hematomas272
  • Fractures of the Cervical Spine and Vertebral Arteries in Boxing276
  • Injuries to the Carotid Arteries due to Blows against the Neck280
  • Traumatic Thrombotic Occlusion of the Basilar Artery283
  • Backward Falls of Boxers and Possible Consequences286
  • Chapter 15. Chronic Clinical Findings288
  • MARTLAND's Pioneering Publication on the Punch Drunk Syndrome288
  • Discussion of the so-called Multiple Concussion Hemorrhages291
  • Discussion of the Different Diagnoses used294
  • Case Histories of Chronic Chnical Findings296
  • Importance of the Study of ROBERTS (1969)338
  • Further Clinical Studies352
  • Chapter 16. Electroencephalographic Findings in Boxers413
  • Neuroradiological Findings422
  • Psychometric Findings422
  • Clinical Findings422
  • Chapter 17. Acute Pathomorphological Findings427
  • Chapter 18. Chronic Pathomorphological Findings461
  • Case Histories of Histologically Examined Boxers461
  • Chapter 19. Cavum septi pellucidi in the Population and in Boxers537
  • Chapter 20. Punch Drunk Syndrome540
  • Chapter 21. Why are Woodpeckers not Punch Drunk?544
  • Chapter 22. Examples of Brain Damaged Boxers545
  • Ad WOLGAST545
  • MUHAMMAD ALI546
  • Bubi SCHOLZ552
  • Jerry QUARRY552
  • Chapter 23. Fatal Incidents in the Boxing Ring554
  • Professional Boxing Fight between Primo CARNERA and Ernie SCHAAF554
  • Professional Fist Fight between Harry LANE and Lem FRANKLIN556
  • Professional Fist Fight between Kid POINT and Roland PRAIRIE556
  • Fatal Outcome of a Professional Fight in Providence, Rhode Island556
  • Fatal Outcome of an Amateur Boxing Match for Francisco VELASQUEZ557
  • Professional Boxing Match between Manfred NAUKE and Karl Heinz BICK557
  • Professional Boxing Match between Rodrigo CONTRERAS and Sonny NUNES558
  • Professional Boxing Match between 'Sugar' Ray ROBINSON and Jimmy DOYLE558
  • Professional Welterweight Title Match between Emile GRIFFIT and Benny 'Kid' PARET563
  • Professional Boxing Match between 'Sugar' RAMOS and Davey MOORE567
  • Professional Boxing Match in the Middleweight between Jackie DARTHARD and Bert LYTELL in Milwaukee573
  • Professional Boxing match of the Heavyweight Boxer Alejandro LAVORANTE against Archie MOORE, Cassius574
  • Professional Boxing Match between Ernie KNOX and Wayne BETHEA574
  • Professional Boxing Fight between Juan Jesus MELERO and Francisco RODRIGUEZ576
  • Professional Boxing Match between Angelo JACOPUCCI and Alan MINTER576
  • Professional Boxing Match between Ray 'Boom Boom' MANCINI and DUK KOO KIM580
  • Professional Boxing Match in which Richie SANDOVAL was knocked out584
  • Professional Boxing Fight between Lupe PINTOR and Johnny OWEN584
  • Fatal Outcome of a Professional Fist Fight between Ken KATAGIRI and Fusaaki TAKANAGA585
  • Professional Boxing Match between Jimmy GARCIA and Gabriel RUELAS586
  • Chapter 24. Human Immunodeficiency Virus (HIV) Exposure587
  • Chapter 25. Amateur Boxing in the Armed Forces and Police Academies589
  • Chapter 26. Statements of Medical Societies and their Perspectives of Boxing607
  • Chapter 27. Discussion about Boxing Initiated by Dr. LUNDBERG627
  • Chapter 28. Pros and Cons. Statements by Physicians, Officials, Writers, Moral Theologians, and Poli636
  • Chapter 29. Boxer 'Nicknames'737
  • Chapter 30. Boxing Spectators739
  • Chapter 31. So-called 'Opponents' and Mismatches742
  • Chapter 32. Purses in Boxing746
  • Chapter 33. Karate752
  • Physics of Karate752
  • Full Contact Karate753
  • Afterword757
  • Bibliography758
  • Index789
Book details
  • Vendor Elsevier S & T
  • SKU 9780127091303
  • ISBN-13 9780080528250
  • Author Unterharnscheidt, Friedrich; Taylor Unterharnscheidt, Julia
  • Category Medical
  • Subject Sports Medicine

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This book neither argues for or against the continuation of boxing, but lays out the literature and the body of scientific knowledge that are necessary to provide a meaningful background for the ensuing debate. It provides a comprehensive resource for those who are involved in regulating boxing and those who participate directly, as well as for the medical and scientific communities. Includes carefully quoted case histories and research as well as an extensive body of medical literature on boxing injuries to demonstrate that brain damage is a natural consequence of boxing.

* Presents in-depth analysis of the phenomenon of "punch drunkness"
* Includes detailed case histories of the clinical and pathomorphological findings uncovered by current medical research
* Extensively reviews medical literature