By Friedrich Unterharnscheidt
This booklet neither argues for or opposed to the continuation of boxing, yet lays out the literature and the physique of medical wisdom which are essential to offer a significant heritage for the resultant debate. It presents a finished source in case you are considering regulating boxing and people who take part at once, in addition to for the scientific and medical groups. contains rigorously quoted case histories and learn in addition to an in depth physique of clinical literature on boxing accidents to illustrate that mind harm is a common final result of boxing.
* offers in-depth research of the phenomenon of ''punch drunkness''
* contains designated case histories of the scientific and pathomorphological findings exposed by means of present scientific research
* greatly studies clinical literature
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Additional info for Boxing. Medical aspects
In partial necrosis, only the more vulnerable neurons are affected while the more resistant ghal elements and the mesodermal elements of the vessels remain unaffected and develop progressive alterations. The proHferation involves mainly astroghal elements. The final product is a so-called glial and/or mesodermal scar. Partial necroses are usually found next to cortical contusions. It is important to distinguish between partial and total necroses since each form results in a different defect. Clinically, it is important to know whether these permanent traumatic lesions are located in silent zones, or in areas which produce psychopathological or neurological deficits.
3) Cortical contusions at external and internal ricochet shots do not occur in boxing. (4) The 'gliding contusions' develop after rotational accelerations of the head (Fig. 32). While the bony skull with the affixed dura mater experiences a rotational acceleration, the brain remains behind, due to its inertia. During these gliding movements between skull and dura mater on the one side and the surface of the brain of the other side, bridging veins are over-stretched and ultimately torn. Vessels of the cerebral cortex are pulled out and torn off.
Cortical contusion in the frist stage at (a). The profound sulcus at (b) presents no primary but secundary tissue aUerations. The more shallow sulcus at (c), located within the area of critical pressure, exhibits both primary and secondary tissue akerations. 5:1. (From SELLIER, UNTERHARNSCHEIDT, 1963). In discussing the mechanism of tissue damage GROSS noted that in the various theories that are based on fluctuations of pressure it is generally concluded that it is the negative phase of the pressure cycle that is causing the tissue damage.
Boxing. Medical aspects by Friedrich Unterharnscheidt