scholarly journals Recent anterior dislocation of the right shoulder and posterior dislocation of the left shoulder

2014 ◽  
Author(s):  
Ali Abougazia
2021 ◽  
pp. 003151252110034
Author(s):  
Craig Turner ◽  
Peter Visentin ◽  
Deanna Oye ◽  
Scott Rathwell ◽  
Gongbing Shan

Piano performance motor learning research requires more “artful” methodologies if it is to meaningfully address music performance as a corporeal art. To date, research has been sparse and it has typically constrained multiple performance variables in order to isolate specific phenomena. This approach has denied the fundamental ethos of music performance which, for elite performers, is an act of interpretation, not mere reproduction. Piano performances are intentionally manipulated for artistic expression. We documented motor movements in the complex task of performance of the first six measures of Chopin’s “Revolutionary” Etude by two anthropometrically different elite pianists. We then discussed their motor strategy selections as influenced by anthropometry and the composer’s musical directives. To quantify the joint angles of the trunk, shoulders, elbows, and wrists, we used a VICON 3 D motion capture system and biomechanical modeling. A Kistler force plate (1 N, Swiss) quantified center of gravity (COG) shifts. Changes in COG and trunk angles had considerable influence on the distal segments of the upper limbs. The shorter pianist used an anticipatory strategy, employing larger shifts in COG and trunk angles to produce dynamic stability as compensation for a smaller stature. Both pianists took advantage of low inertial left shoulder internal rotation and adduction to accommodate large leaps in the music. For the right arm, motor strategizing was confounded by rests in the music. These two cases illustrated, in principle, that expert pianists’ individualized motor behaviors can be explained as compensatory efforts to accommodate both musical goals and anthropometric constraints. Motor learning among piano students can benefit from systematic attention to motor strategies that consider both of these factors.


Author(s):  
K. B. E. E. Eimeleus

This chapter looks at turns on the move with the right or left shoulder aligned with the corresponding ski. It distinguishes three important techniques that have gained currency in the world of sport. One of them pertains only to running skis while the other two require mountain skis with stable bindings. The first is the method for turning in place, used while descending from a mountain or over flat terrain on running skis, or on any skis that lack a stable binding and have a posterior center of balance. The next is the Christiania turn, which is carried out on the inner ski, that is, on the right ski when the turn is done to the right-hand side. Finally, the Telemark turn allows a skier to make a sudden stop as they are descending.


1914 ◽  
Vol 34 ◽  
pp. 47-59
Author(s):  
Katharine A. Esdaile

Among the most important bronzes in the British Museum is the statuette of a philosopher, said to have been found in dredging the harbour at Brindisi, which was acquired in 1865 (Pl. II). It measures 20 inches (50·8 cm.) in height, and represents a bearded man seated—though the original seat has disappeared—and resting his chin on his right hand; his left arm, muffled in his only garment, the himation that passes over his left shoulder, lies across his lap and supports the right arm; the right foot is drawn back behind the left, and he wears sandals elaborately tied. The thoughtful and interesting head (Pl. III.) suggests in type and period the pleasanter portraits of Aeschines and the newly discovered Aristotle; hair and beard are cut close, the features are small and well shaped, the whole effect in singular harmony with the reflective pose of the figure. The surface has suffered from the action of water, and there is a large hole on the left shoulder, and a crack running down the arm.


2003 ◽  
Vol 83 ◽  
pp. 492-495 ◽  
Author(s):  
Mark A Rickard

This small portrait miniature emerged in the sale, by an anonymous vendor, of part of the contents of a country house near Stamford, in Lincolnshire, on 16 February 2002. The image is painted in watercolour on a pale carnation ground with a support of either card or vellum and is in good condition with only one marginal abrasion. To the right of the miniature, against the pale blue background and parallel to the boy's left shoulder, is the monogram of ‘G’ above ‘I’. The frame is an oval seventeenth-century silver locket with a flat back measuring 33mm × 28mm. The convex glass is held in place by a gold band, and attached to the back is a gold loop secured by a thin flat plate, which is possibly a later addition.


2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Angelo De Carli ◽  
Antonio P Vadalà ◽  
Gianluca Fedeli ◽  
Marco Scrivano ◽  
Edoardo Gaj ◽  
...  

Introduction: The treatment of chronic shoulder instability, associated with poor tissue quality, remains challenging in the setting of anterior capsular deficiency. There are a few viable alternatives in the end-stage shoulder instability when multiple surgical attempts to correct the pathology have failed. The purpose of the present paper is to demonstrate the efficacy of anterior capsular reconstruction with semitendinosus autograft for the management of capsulolabral deficiency without associated bone loss. Case Report: A 39-year-old female admitted in our institution with a history of recurrent atraumatic anterior dislocation of the left shoulder after three unsuccessful surgical attempts: Arthroscopic and open capsulorrhaphy and a Latarjet coracoid transfer. CT scan images showed adequate placement (flush) of the coracoid transfer without any sign of reabsorption. Reconstruction of anterior capsulolabral structure was performed using a Semitendinosus autograft. The middle and inferior glenohumeral ligaments, the more crucial ligaments for anterior-inferior shoulder stability, were effectively recreated. The patient did not suffer any recurrent dislocation or subjective symptoms of instability at the time of the final follow-up, 2 years after surgery, and the ASES score increased from 36 preoperatively to 86. Conclusion: This technique, described for the first time as a salvage procedure after Latarjet failure, could represent a safe and viable treatment option in the context of multiple ineffective surgeries. Keywords: Autograft, capsulolabral reconstruction, latarjet, recurrent shoulder instability.


2015 ◽  
Vol 10 (1) ◽  
pp. 22
Author(s):  
Heru Wibowo

In carrying out the activities at the library needed a comfort, safety and job security in order to create a condition that is in line with expectations and make history in enjoying what will be done. To create an environment and atmosphare is influenced by temperature, humidity, air circulation, lighting, mechanical vibration, color, ordor, and a number of tools used to support the activities of the library includes tables, ahairs, shelves, cabinets, atc. Furniture or equipment use in the library must also be designed so that a safe and compfortable when used. This study aims to determine the grievances suffered by employees (librarian. This study is a quantitative research approach to ergonomics so that the methods used include: (1) observation by direct observation, (2) interview were conducted using a questionnaire sheet Nordi Body Map and (3) documentation. The results obtained from this study: (1) in the upper body 70% complained of pain in the shoulders and neck, 50 % left shoulder , right shoulder 55 % , and 45 % on the left arm. (2) the body of the middle 60 % complained of back pain , 50 % in the upper right arm , 60 % pain in the waist , 20 % on the buttocks , 15 % on the buttocks , the left elbow 25 % , 20 % right elbow , 30 % below the left arm , forearm 25 % right, 35 % left wrist , right wrist 45 % , 30 % and 40 % left hand right hand. (3) in the lower body as much as 20 % complained of pain in the left thigh , right thigh 20 % , 30 % left knee , right knee 25 % , 35 % left calf , calf 35 % right, 20 % left ankle , 30 % on the right ankle , 20 % of the left leg and 25 % pain in the right foot . It can be concluded that most of the employees (librarians) complained of pain in the right side of the body member .


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262207
Author(s):  
Sigal Portnoy ◽  
Shlomit Cohen ◽  
Navah Z. Ratzon

Background The guitar-playing community is the largest group at risk of developing playing related musculoskeletal disorders. A thorough investigation of the relationships between the various risk factors and players’ report on musculoskeletal pain using objective and accurate means of assessment has yet to be reported. Purpose (a) to explore the correlations between demographic characteristics, anthropometric measurements, playing habits, and personal habits of guitar player and their complaints of musculoskeletal pain, (b) explore the correlations between the upper body kinematics of guitar players during playing the guitar and their complaints of musculoskeletal pain, and (c) compare the upper body kinematics of guitar players during playing the guitar while sitting versus standing. Methods Twenty-five guitar players (27.5±4.6 years old) filled out questionnaires regarding their guitar-playing habits, and the Standardized Nordic Questionnaires for the analysis of musculoskeletal symptoms. Kinematics of their torso and upper limbs were tracked while they played a tune twice, once while sitting and once while standing. Results We found moderate correlations between the number of painful joints in the last year and factors, such as physical comfort while playing, years of playing, and position during playing. During standing, lower back pain severity correlated with the rotation range of the torso, while during sitting, it moderately correlated with the average radial-ulnar deviation of the right wrist. During sitting, we found higher anterior and right tilt of the torso, combined with greater abduction of the right shoulder, higher flexion in the left shoulder and higher radial deviation in the left wrist. Conclusion Our results point to several risk factors, related both to playing habits but also to playing posture, which should be considered by the guitar players in order to prevent playing-related musculoskeletal disorders.


2021 ◽  
Vol 14 (6) ◽  
pp. e242468
Author(s):  
Dilpat Kumar ◽  
Wasif Elahi Shamsi ◽  
Thales Gomes ◽  
FNU Warsha

Lemierre syndrome (LS) is an acute oropharyngeal infection with secondary septic thrombophlebitis and distant septic embolisation. A 29-year-old woman with sore throat, dyspnoea and left shoulder pain, who was on levofloxacin for 3 days, presented with worsening symptoms. She was tachycardic, tachypneic and hypoxic on presentation. CT of neck and chest revealed multiple loculated abscesses on her left lower neck and shoulder, right peritonsillar abscess, thrombosis of the right external jugular vein and multiple bilateral septic emboli to the lungs. She was started on clindamycin and ampicillin sulbactam for LS. She developed septic shock and required intubation due to respiratory failure. Drainage of the left shoulder abscess grew Fusobacterium nucleatum. After 2 weeks of a complicated intensive care unit stay, her haemodynamic status improved and she was transferred to the floor. LS has variable presentations, but regardless of the presentation, it is a potentially fatal disease-requiring prompt diagnosis and management.


1996 ◽  
Vol 17 (8) ◽  
pp. 291-294
Author(s):  
J. Peter Harris ◽  
Carol J. Buzzard ◽  
Liliana D. Gutierrez ◽  
Franz E. Babl ◽  
Susan K Ratzan

This section of Pediatrics in Review reminds clinicians of those conditions that can present in a misleading fashion and require suspicion for early diagnosis. Emphasis has been placed on conditions in which early diagnosis is important and that the general pediatrician might be expected to encounter, at least once in a while. The reader is encouraged to write possible diagnoses for each case before turning to the discussion, which is on the following page. We invite readers to contribute case presentations and discussions. Case 1 Presentation While driving to work, a 17-year-old female high school senior who has been in good health has an abrupt syncopal episode resulting in a headon collision at 40 miles per hour. She is alert and oriented right after the accident, but complains of sternal pain as well as pain in her left chest, left shoulder, and the right side of her jaw. Evaluation in the emergency department reveals slight tachypnea of 26 breaths/min, blood pressure of 90/60 mm Hg, a midsternal abrasion, a left pneumothorax, and nondisplaced fractures of the left clavicle and right mandible. Results of her neurologic examination, including mental status, are normal. She denies the use of any medication, street drugs, or alcohol, but she does report a 9-month history of brief spells of lightheadedness, diaphoresis, nausea, and visual blackouts, with one previous episode proceeding to complete syncope.


2021 ◽  
Vol 15 (2) ◽  
pp. 9-14
Author(s):  
Eliza Smoła ◽  
Katarzyna Wódka ◽  
Marta A. Bibro ◽  
Agnieszka Jankowicz-Szymańska

<p><b>Introduction: </b>The objective of the study was to assess the flexibility of the hamstring muscles and their relationship with the position of the spine, shoulder and pelvic girdles in individual planes in boys training football. <p><b>Material and methods: </b>The study included 28 boys aged 10-14, training football 3 times a week for at least 2 years. The subjects were divided into two groups: correct bilateral flexibility of the hamstring muscles, bilateral shortening of the hamstring muscles. Body height and weight were measured and BMI was calculated. The three-dimensional position of the trunk was examined using the Zebris pointer ultrasound system. The passive straightleg- raising test was used to assess the flexibility of the hamstring muscles. <p><b>Results: </b>32% of people were diagnosed with the correct length of both hamstring muscles, 57% had shortened muscles in both limbs. Mean values determining the depth of thoracic kyphosis indicated its deepening in each of the groups, however, lower values were recorded in boys with reduced flexibility of the hamstring muscle mass. This group was also characterised by a better balance of the trunk in the sagittal plane. The average depth of lumbar lordosis in both groups was within the normal range. In the frontal plane, in both groups of footballers there was a tendency to lift the left shoulder (more frequent in the group with normal flexibility), the pelvis on the left side and shift the trunk to the right. <p><b>Conclusion: </b>Shortening of the hamstring muscles is common in boys who train football, but no evidence of a relationship between the limited flexibility of these muscles and the position of the trunk was found.


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