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1 Index Note: Page numbers of article titles are in boldface type. A Abdominal trauma, blunt, deaths due to, 583 Agent of commission, ringside physician as, 513 Agitation/aggression, following boxing injuries, Airborne infections, Alcohol, prohibited in competition, 540 Anabolic agents, as prohibited, 536 Anabolic androgenic steroids, as prohibited, 537 Androgenic steroids, anabolic, as prohibited, 537 Angle recession, due to blunt trauma, 596 Antisclerotic disease, 522 Aorta, rupture of, 527 Arrhythmias, Attention, boxing injuries and, 629 Auscultation, in valvular disease, 524 B ß-Blockers, prohibited in competition, Bacterial infections, 553 Balance and vestibular disorders, associated with boxing injuries, BALCO, drug concoctions and, Behavior problems, boxing injuries and, 630, Bloodborne infection, Bout, neurologic symptoms following, 565, 566 reporting results of, Professional Boxing Safety Act of 1996 and, 511 termination of, ringside physician and, 518 Boxer registry, of Professional Boxing Safety Act of 1996, 509 Boxer(s), bleeding, 580 medical abnormalities on brain imaging disqualifying, 515 medical preparticipation evaluation of, ringside physician and, medical record of, review by ringside physician, prefight medical questions for, 516 prefight physical examination for, refractive surgery in, Boxer s knuckle, diagnosis and operative management of, , 616 Boxing, and contact sports, cardiovascular issues in, brain injury in, eye trauma in, governing bodies in, 542 Clin Sports Med 28 (2009) doi: /s (09) sportsmed.theclinics.com /09/$ see front matter ª 2009 Elsevier Inc. All rights reserved.

2 642 Index Boxing (continued) hand injuries in: boxer s knuckle and traumatic carpal boss, infectious disease and, medical safety in: administrative, ethical, legislative, and legal considerations, metabolic demand of, 521 nonneurologic emergencies of, safety standards in, 579 specific risks of, status of doping and drug use and, implications for sport, Boxing gym, environment of, contamination of, Boxing injuries, agitation/aggression following, attention and, 629 balance and vestibular disorders associated with, behavior problems and, 630, cognitive skills and, pharmacologic enhancement of, 629 executive function and, 630 learning and memory and, movement disorders associated with, neurologic, rehabilitation following, of lower extremity, rehabilitation following, of upper extremity, rehabilitation following, orthopaedic, and neurologic, rehabilitation of, rehabilitation of, 623 spinal, rehabilitation following, 624 Boxing match. See Bout. Brain injury, acute traumatic, clinical classification of, 567 clinical presentation of, concussion and, 564 diagnosis of, 565 epidemiology of, management of, pathologic classification of, 562 pathology of, pathophysiology of, 567, 568 prevention of, signs and symptoms of, 563 chronic traumatic, clinical presentation of, 572 diagnosis of, 573 epidemiology of, management of, 575 pathology of, pathophysiology of, prevention of, 575 risk factors for, 571 in boxing, traumatic, assessment for, 518 Bronchitis, Brugada syndrome,

3 Index 643 C Cannabinoids, prohibition of, 540 Cardiac arrest, in direct blow to chest, 582 Cardiac emergencies, Cardiomyopathy(ies), dilated, 523 hypertrophic, 523 electrocardiogram to screen for, 528 Cardiovascular abnormalities, recommendations for athletes with, 529 Cardiovascular evaluation of athlete, 528 Cardiovascular events, diagnosis and treatment of, 530 Cardiovascular issues, in boxing and contact sports, Cardiovascular risks of exercise, Cardiovascular screening, prebout, 516, 517 Carpal boss, traumatic, diagnosis and operative treatment of, , 619 Carpometacarpal joint, anatomy of, Cataracts, in boxers, , 599 Chemical and physical manipulation, as prohibited, 539 Chest, blunt trauma to, trauma to, 525 Chylous pericardium, chronic, Cognitive skills, following boxing injuries, pharmacologic enhancement of, 629 Common cold, 547 Commotio cordis, Congenital heart disease, undiagnosed, 524 Contact infections, Contact lenses, 604 Contact sports, and boxing, cardiovascular issues in, Contracoup, to eye, Corneal abrasion, Corneal incisional surgery, Coronary artery anomalies, congenital, 523 Coup injury, to eye, 592 Cyclodialysis, 596 D Dehydration, 546 Documentation, of ringside physician, maintenance of, Doping, and drug use, status of, implications for boxing, by athletes, history of, 534 definition of, substances and methods prohibited, at all times, in competition, in particular sports, World Anti-Doping Agency and, 533, 535 Drug testing, in competition versus out-of-competition, Drug use, and doping, status of, implications for boxing, by athletes, history of, Drugs, potentially abused in boxing, 541 therapeutic use of, exemptions for, 541

4 644 Index E Electrocardiogram, to screen for hypertrophic cardiomyopathies, 528 Emergency preparedness, Equatorial expansion, of eye, Equipment, safety of, Professional Boxing Safety Act of 1996 and, 511 Ethical guidelines, for ringside physician, Executive function, boxing injuries and, 630 Exercise, cardiovascular risks of, Eye, rupture of, 593, 594, 595 Eye surgery, incisional, 602 Eye trauma, in boxing, anatomic considerations in, 592 incidence of, 591, 599 mechanisms of, 592 morbidity associated with, 591 physics of, 592 threatening vision, 599 types of, prevention of, risk factors for, 604 F Fighter. See Boxer(s). Fighter s contract, indemnification clause in, ringside physician and, 513 Fractures, oribital blowout, 602 Fungus, as cause of infection, 551 G Gene doping, 539 Genital injury, due to blunt trauma, 584 Glasgow coma score, 565, 566, 567 Globe, rupture of, after eye surgery, 603 Glucocorticosteroids, 540 Governing bodies, in boxing, 542 H Hand injuries, in boxing: boxer s knuckle and traumatic carpal boss, management of, prevention of, 619 Hand(s), anatomy of, 610, 611 pathoanatomy of, unwrapped, examination of, 518 Heart, adaptations to intense exercise, 522 anatomy of, 522 Hematoma(s), 580 subdural, 518 Hepatitis B virus, transmission of,

5 Index 645 Hepatitis C virus, transmission of, 556 Herpes simplex virus skin infection, Hormone antagonists and modulators, prohibited, 538 Hormones and related substances, prohibited, Human immunodeficiency virus, transmission of, Hypertrophic cardiomyopathy, 523, 528 Hyphema, I Identification card, and Professional Boxing Safety Act of 1996, Immune system, detrimental effects of exercise on, 546 physiology of, Indian reservations, boxing on, standards and licensing of, 511 Infectious disease, airborne, bloodborne, boxing and, contact, of upper respiratory tract, 547 Iridodialysis, traumatic, 596, 597 Iritis, traumatic, 595 K Keratotomy, kexagonal, radial, Kidney, injury to, due to blunt trauma, 584 L Learning and memory, boxing injuries and, Legislation of boxing, pending, 512 Legislative guidelines, Lens, injury to, in boxers, 597 Liability, strict, doping and, 536 Long QT syndrome, 587 causes of, 525, Lower extremity, injuries in boxing, rehabilitation following, M Macrohyphema, 595, 596 Macula, importance to visual function, 600 Malpractice insurance, ringside physician and, Marfan syndrome, 524 Medical abnormalites, on brain imaging, disqualifying fighters, 515 Medical insurance, for ringside physician, maintenance of, 513 Medical issues, exclusion of athletes due to, Medical license for jurisdiction of fight, of ringside physician, maintenance of, 513 Medical questions, prefight, 516 for boxer, 516

6 646 Index Medical requirements, minimum, 506 Metacarpophalangeal joint, extensor hood mechanism of, Methicillin-resistant Staphylococcus aureus infection, 553 Mitral regurgitation, 524 Movement disorders, associated with boxing injuries, MRI scanning, in chronic brain injury, 515 Muhammad Ali Boxing Reform Act, 511 Musculoskeletal system, prefight evaluation of, 517 Myocarditis, 523, N Narcotics, prohibition of, 540 Neck, anterior, direct blunt trauma to, 581 Neurologic injuries, in boxing, rehabilitation following, O Ocular examinations, of fighters, 515 Ocular injuries, in boxing, vision-threatening, 599 Optic nerve, and visual field defects, 600 avulsion of, 601 Optic neuropathy, traumatic, Oral, ocular, ear/nose/throat trauma, Orbital blowout fractures, 602 Orthopedic trauma, in boxing ring, Oxygen transfer, enhancement of, as prohibited, 538 P Pericarditis, Pharyngitis, Physical examination, prefight, for boxer, Physician, and Professional Boxing Safety Act of 1996, 509 ringside. See Ringside physician. Pneumonia, community-acquired, 549 Pre-participation examination, Preparticipation screening of athletes, 528 Procedures to be established, Professional Boxing Safety Act of 1996 and, 510 Professional Boxing Safety Act of 1996, boxing registry of, 509 health, safety, and equipment recommendations of, 511 identification card and, 510 physician and, 509 procedures to be established, 510 reporting results and, 511 safety standards of, standards and licensing of, 511 suspension and, 509

7 Index Prohibited List World Anti-Doping Code, 536 Psychotic emergencies, acute, 585 R Retina, peripheral, injury to, 599, 600 Rib fractures, as emergency situation, 582 Ringside physician, 505 and medical preparticipation evaluation of boxers, as agent of commission, 513 documentation by, maintenance of, ethical guidelines for, indemnification clause in fighter s contract and, 513 legal concerns of, malpractice insurance and, medical insurance for, maintenance of, 513 medical license for jurisdiction of fight, maintenance of, 513 post-fight examination by, 507 requirements of, 579 review of fighters medical record by, ringside preparticipation by, termination of bout and, 518 Ringside preparation, S Safety standards, of Professional Boxing Safety Act of 1996, Second impact syndrome, Serology, before fight, 516 Sinusitis, acute, 548 Skin infection, herpes simplex virus, Spinal injuries, in boxing, rehabilitation following, 624 Spleen, blunt trauma to, 583 Staphylococcus aureus, methicillin-resistant infection, 553 Stimulants, prohibition of, Subconjunctival hemorrhage, Sudden cardiac death, 522, Supraventricular arrhythmias, reentrant, 525 Suspension, and Professional Boxing Safety Act of 1996, 509 U Upper extremity, injuries in boxing, rehabilitation following, Upper respiratory tract infections, 547 V Valvular disease, 524 Ventricular dysplasia, arrhythmogenic right, 525 Virus, as cause of infection,

8 648 Index W Warts, 552 Water, for necessary hydration, 546 Weight, stipulated, making of, infection and, 546 World Anti-Doping Agency, 533, 535 Z Zonular trauma,

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