scholarly journals Identifying and Evaluating Vocation-Related Neuro-Musculoskeletal Deficiencies in Professional Musicians: A Review

2021 ◽  
Vol 11 (5) ◽  
pp. 2035
Author(s):  
Joseph Mizrahi
Keyword(s):  
Myofascial Pain ◽  
Tennis Elbow ◽  
Traumatic Injury ◽  
Lateral Epicondylitis ◽  
Upper Extremities ◽  
Upper Body ◽  
Professional Musicians ◽  
Shoulder Muscles ◽  
Repetitive Movements ◽  
Tunnel Syndrome

A combination of factors exposes musicians to neuro-musculoskeletal disorders, which lead to pain and damage. These involve overuse due to long playing hours, containing repetitive movements under stressful conditions, usually performed in an unnatural posture. Although the evoked disorders are usually non-traumatic, they may often lead to prolonged or even permanent damage. For instance, in upper string players, these include bursitis and tendinopathies of the shoulder muscles, tendonitis of the rotator cuff, injury at the tendon sheaths, medial or lateral epicondylitis (also known as tennis elbow), myofascial pain, and wrist tendonitis (also known as carpal tunnel syndrome, or De Quervein’s syndrome). In cases of intensive performance, a traumatic injury may result, requiring drastic means of intervention such as surgery. It should be pointed out that the upper body and upper extremities are the most commonly affected sites of playing musicians. This review provides a description of the playing-related motor disorders in performing musicians, and of the methodologies used to identify and evaluate these disorders, particularly for violinists and other upper string players.

Risk factors in lateral epicondylitis (tennis elbow): a case-control study

2012 ◽  
Vol 38 (2) ◽  
pp. 159-164 ◽  
Author(s):  
A. G. Titchener ◽  
A. Fakis ◽  
A. A. Tambe ◽  
C. Smith ◽  
R. B. Hubbard ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Control Study ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Case Control ◽  
Smoking History ◽  
Health Improvement ◽  
Tunnel Syndrome ◽  
Associated Risk Factors ◽  
Control Study

Lateral epicondylitis is a common condition, but relatively little is known about its aetiology and associated risk factors. We have undertaken a large case-control study using The Health Improvement Network database to assess and quantify the relative contributions of some constitutional and environmental risk factors for lateral epicondylitis in the community. Our dataset included 4998 patients with lateral epicondylitis who were individually matched with a single control by age, sex, and general practice. The median age at diagnosis was 49 (interquartile range 42–56) years . Multivariate analysis showed that the risk factors associated with lateral epicondylitis were rotator cuff pathology (OR 4.95), De Quervain’s disease (OR 2.48), carpal tunnel syndrome (OR 1.50), oral corticosteroid therapy (OR 1.68), and previous smoking history (OR 1.20). Diabetes mellitus, current smoking, trigger finger, rheumatoid arthritis, alcohol intake, and obesity were not found to be associated with lateral epicondylitis.

scholarly journals 'Selfie Elbow'- A Public Health Problem among Mobile Users

2019 ◽  
Vol 4 (1) ◽  
pp. 675-679
Author(s):  
Laxman Khanal ◽  
Gulam Anwer Khan ◽  
Anup Pandeya
Keyword(s):  
Elbow Joint ◽  
Tennis Elbow ◽  
Wrist Joint ◽  
Public Health Problem ◽  
Recurrent Pain ◽  
Stress Injury ◽  
Shoulder Muscles ◽  
Tunnel Syndrome ◽  
Repetitive Strain ◽  
Repetitive Stress

Introduction: While taking a selfie picture, a person is in a position in which the arm is fully extended or sometimes a little bent and maintained until the picture of choice is adjusted in the camera frame. One Person must have a firm grip on phone to hold it and hit click. When the process is repeated for a few photos, it causes repetitive strain injury, resulting in various signs, including pain in the elbow joint, which has now been named 'selfie elbow.' Doctors assume that as many as 25% of cell phone users in Kolkata are suffering from this problem (selfie-elbow). Although a selfie is generally seen as an expression of self to others, the American Psychiatric Association (APA) has officially confirmed that taking 'selfies' is seen as a mental disorder and has been given the term 'selfitis.' Selfie elbow is a condition due to overuse injury caused by extending and twisting one's arm for too many phone selfies. Like tennis elbow or golfer's elbow, an addiction to selfie-taking and clicking too many can cause pain in your primary picture-snapping elbow and may affect the upper limb, elbow, and shoulder muscles – which leads to degradation in function. Joints involved in the process of selfie-taking are the shoulder joint, the elbow joint, and the wrist joint, all of which help the hand attain a perfect frame for the picture. However, most of the strain is referred to the elbow, because the person extends (or sometimes bends) the elbow in an extremely strained position during the selfie. Selfie elbow is more of an abnormal and repetitive loading of muscles around the elbow, leading to microruptures, and resulting in inflammation and pain; this ultimately heals with scarring, but causes recurrent pain. As stated, it is a form of repetitive stress injury, similar to carpal tunnel syndrome (or the compression of the median nerve in the wrist, usually due to overuse of the hand) and tendonitis (which occurs when the tendon becomes inflamed).

scholarly journals Coexistence of musculoskeletal disorders in the upper body of labor origin

Duazary ◽  
2019 ◽  
Vol 16 (2) ◽  
pp. 193-203
Author(s):  
Adriana Guzmán-Velasco ◽  
José Luis Diago-Franco
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Rotator Cuff ◽  
Musculoskeletal Disorders ◽  
Carpal Tunnel ◽  
Lateral Epicondylitis ◽  
Female Gender ◽  
Upper Body ◽  
Cross Sectional ◽  
Tunnel Syndrome ◽  
Myofascial Syndrome

The coexistence of musculoskeletal disorders is common in work activities around the world, however, information on the subject is insufficient both in Latin America and in Colombia despite its impact at the economic and social level. The objective of this research was to determine the coexistence of musculoskeletal disorders of work origin in the upper body in the working population that attends a Service Provider Institution (IPS). An observational, descriptive, quantitative, and cross-sectional design study was conducted between the first of March in 2017 and the first of March in 2018. Four semiological tests were applied for physiotherapists to seek the coexistence of carpal tunnel syndrome, lateral epicondylitis, rotator cuff syndrome, and cervical myofascial syndrome. Among the results, it was found that 92.6% (n=138) of the patients had two or more pathologies, 59.73% (n=89) had the rotator cuff and the myofascial syndrome, 52.35% (n=78) had epicondylitis and myofascial syndrome, and 37.58% (n=56) had carpal tunnel syndrome and lateral epicondylitis. This study highlights the high coexistence of musculoskeletal disorders in the upper body, especially in the female gender.

Finite Element Analysis of the Anatomy of Acupuncture Points

2009 ◽  
Author(s):  
David I. Shreiber ◽  
Asha Singanamalli ◽  
Margaret Julias ◽  
Helen M. Buettner
Keyword(s):  
Myofascial Pain ◽  
Tennis Elbow ◽  
Needle Insertion ◽  
Scientific Basis ◽  
Acupuncture Points ◽  
Low Back ◽  
Element Analysis ◽  
Tunnel Syndrome ◽  
Ancient Times ◽  
Osteoarthritic Pain

Acupuncture is a centuries-old traditional therapy that is used to treat a litany of diseases and conditions. Acupuncture is performed by inserting fine needles into specific locations defined in ancient times — acupressure is similarly applied at these points by tissue palpation without needle insertion. Manipulating these acupuncture points is believed to regulate the flow of energy or ‘qi’ through acupuncture meridians to produce specific, far-reaching results. Though no scientific correlate to ‘qi’ has been identified, acupuncture has indeed been demonstrated to be clinically effective for nausea [1] and osteoarthritic pain [2], and suggested for addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, low back pain, carpal tunnel syndrome, and asthma [1]. Despite this evidence, no scientific basis for the location of acupuncture points has been found.

scholarly journals ‘Carpal tunnel syndrome’ and ‘tennis elbow’ as prodromes for granulomatosis with polyangiitis (formerly Wegener’s granulomatosis)

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-227348
Author(s):  
Christian Geier ◽  
Kelly Steed
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Granulomatosis With Polyangiitis ◽  
Tennis Elbow ◽  
Leukocytoclastic Vasculitis ◽  
Lateral Epicondylitis ◽  
High Dose ◽  
Pulmonary Infiltrates ◽  
Tunnel Syndrome ◽  
Hands And Feet

A 62-year-old man presented with excruciating joint pains, back stiffness and numbness of his hands and feet. Over the past 18 months, he had experienced similar episodes for which the diagnoses of bilateral carpal tunnel syndrome and lateral epicondylitis had been made. Physical examination revealed polyarticular arthritis affecting the shoulders, wrists and right knee. Palpable purpura overlying the calves and ankles was present. Laboratory tests showed markedly elevated erythrocyte sedimentation rate and C-reactive protein in the setting of negative blood and urine cultures. Rheumatoid factor and antinuclear antibodies were negative. Chest CT demonstrated bilateral pulmonary infiltrates. A punch biopsy of the rash showed leukocytoclastic vasculitis. Anti-proteinase-3 titers returned strongly positive. A diagnosis of granulomatosis with polyangiitis was made. Treatment with high-dose steroids, followed by rituximab resulted in normalisation of inflammatory markers with subsequent resolution of joint pains, rash and pulmonary infiltrates and improvement of neuropathic symptoms.

Radial Tunnel Syndrome: Case Report and Comprehensive Critical Review of a Compression Neuropathy Surrounded by Controversy

Hand ◽  
2021 ◽  
pp. 155894472110290
Author(s):  
G. Gleda Ang ◽  
David G. Bolzonello ◽  
Bruce R. Johnstone
Keyword(s):  
Critical Review ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Provocative Test ◽  
Lateral Elbow Pain ◽  
Electrophysiological Studies ◽  
Tunnel Syndrome ◽  
Long Acting ◽  
Proximal Forearm ◽  
Radial Tunnel Syndrome

Radial tunnel syndrome (RTS) is an uncommon controversial entity thought to cause chronic lateral proximal forearm pain due to compression of the deep branch of the radial nerve, without paralysis or sensory changes. Diagnostic confusion for pain conditions in this region results from inconsistent definitions, terminology, tests, and descriptions in the literature of RTS and “tennis elbow,” or lateral epicondylitis. A case of bilateral RTS with signs discordant with traditionally used clinical diagnostic tests was successfully relieved with surgical decompression and led us to perform a comprehensive critical review of the condition. We delineate the controversy surrounding its diagnosis and aim to facilitate appropriate management and identify other areas for further study in this controversial condition. Clinical validity and evidence of anatomical rationale for the traditionally used Maudsley’s provocative test is unclear in diagnosis of RTS or in chronic lateral elbow pain, if at all. Neither imaging nor electrophysiological studies contribute to a clinical diagnosis which is supported by short-term improvement after an injection with long-acting local anesthetic and corticosteroid. Accurate diagnosis and treatment of RTS can significantly improve quality of life, but validity and evidence for traditional clinical tests and definitions must be clarified.

scholarly journals TENNIS ELBOW

2018 ◽  
Vol 25 (02) ◽  
pp. 196-200
Author(s):  
Usama Bin Saeed ◽  
Talha Bind Saeed ◽  
Sundus Tariq
Keyword(s):  
Tennis Elbow ◽  
Platelet Rich Plasma ◽  
Lateral Epicondylitis ◽  
Root Cause ◽  
Repetitive Movements ◽  
Significant Disability ◽  
Group A ◽  
Group B

Introduction: Lateral epicondylitis, also called as Tennis Elbow is the primarycause of musculo-skeletal ache including extensor origin of forearm. Repetitive movements areconsidered to be the root cause of this disorder. This disorder involves overexertion of fingers andwrist extensors that causes significant disability ultimately affecting the quality of life. The basisfor diagnosing lateral epicondylitis is very clear clinically. The strategy of injecting steroid locallyhas proven to dispense predictable and consistent transient relief of pain. Recent treatmentinvolve Platelet Rich Plasma (PRP) administration locally. Study Design: Prospective study.Period: 01-07-2014 to 30-06-2016. Setting: Department of Orthopedic Surgery Allied /DHQHospital Faisalabad. Subject and Methods: Total of 38 patients aging 25-60 years belongingto either gender with Lateral Epicondylitis who met inclusion criteria were enrolled in this studyand divided in two (2) groups A and B. The group which was treated with steroid injection waslabeled as A and group B comprised of patients which were treated with prepared PRP injection.Outcome was analyzed on the basis of Visual Analogue Scale of pain and functional outcomeusing qDash scores at baseline, 6 weeks and 12 weeks. Results: In Group A, baseline VASwas 7.3 + 2.1 and q DASH was 83+1.2. At 6 weeks and 12 weeks VAS was 5.3+ 3.1 and 6.1+1.2 respectively. qDash scores were 78 + 4.2 and 63 + 1.6 at 6 and 12 weeks respectively.In Group B VAS was 7.2+ 2.2, 5.3 +1.3, 3.2+ 1.2 at baseline, 6 weeks and 12 weeks. WhileqDash Scores were 81+3.2, 74+3.7, 58+1.2 at baseline, 6 weeks and 12 weeks respectively.Conclusion: Steroid and PRP are effective equally for treating lateral epicondylitis. Accordingto this study, PRP is ranked superior to steroid for its long term effectiveness in controlling painand improve functional outcome.

Standardized Tendon Fenestration with Injection of Autologous Blood for Treatment of Lateral Epicondylitis

2020 ◽  
Author(s):  
Chul Ki Goorens ◽  
Pascal Wernaers ◽  
Joost Dewaele
Keyword(s):  
Tennis Elbow ◽  
Autologous Blood ◽  
Lateral Epicondylitis ◽  
Pain Scale ◽  
Short Term ◽  
Shockwave Therapy ◽  
Other Substances ◽  
Injured Tendon ◽  
Satisfaction Rates

AbstractLateral epicondylitis (LE) of the elbow is often treated with conservative methods. Several techniques including injections with different substances are widely performed. No standardization exists. This prospective study describes the results of the short-term follow-up of 56 patients with mean age 48 years (range: 30–68 years) treated with the Instant Tennis Elbow Cure Medical device, which fenestrates the injured tendon in a standardized way through a holder of 12 small needles. Depth and position of the needles are determined beforehand by ultrasonography. Unprepared autologous blood was injected through the holder in the tendon. Visual analog pain scale (VAS) decreased significantly in rest by 61% and during activity by 47% after 6 weeks. VAS decreased significantly in rest by 79% and during activity by 66% after 3 months. VAS did not remain significantly different after 6 months. Satisfaction rates were 71% after 6 weeks and 82% after 6 months. This suggests that the therapeutical effect sustains and in some cases increases over time. Patient Related Tennis Elbow Evaluation score ameliorated after 3 months by 71%. Comparative studies are needed to confirm this effect versus other techniques as physiotherapy, shockwave therapy, and injections with other substances.

Survey on the Prevalence of Carpal Tunnel Syndrome in Simple Repetitive Workers Who Use Upper Extremities

2001 ◽  
Vol 13 (3) ◽  
pp. 209 ◽  
Author(s):  
Ji Eun Son ◽  
Tae Woon Jang ◽  
Yoon Kou Kim ◽  
Young Seoub Hong ◽  
Kap Yeol Jung ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Upper Extremities ◽  
Tunnel Syndrome

scholarly journals How one treats lateral epicondylitis – a survey among Brazilian orthopedists

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Rafael Fuchs Lazarini ◽  
Renato Arouca Zan ◽  
João Carlos Belloti ◽  
Ildeu Afonso de Almeida Filho ◽  
Luiz Fernando Sartori Centenaro ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Hand Surgery ◽  
Initial Therapy ◽  
Cross Sectional Study ◽  
Imaging Method ◽  
Cross Sectional ◽  
Imaging Tool ◽  
Management Protocol

Abstract Background Lateral epicondylitis (LE), also known as tennis elbow, is the most common painful elbow condition. It affects approximately 1–3% of adults. There are various possible treatments described in the literature, but evidence to support a gold standard management protocol is lacking. Therefore, the objective of this study was to evaluate how Brazilian orthopaedists diagnose and treat lateral epicondylitis and compare these results with the available evidence. Methods This is an observational, analytical, cross-sectional study. A questionnaire was prepared to obtain information from the participants with eight specific questions (2 on diagnosis and 6 on treatment). These questions were answered voluntarily by participants at 3 major congresses of orthopaedists in Brazil in 2018. The results were analysed in accordance with the overall number of responses and were evaluated among groups according to subspecialty. Results We obtained a total of 501 questionnaires. Of these, 33 were excluded. The mean age was 38.67 years. The majority of respondents (91%) were male. We obtained 26.7% from specialists in hand surgery (Hand group), 36.5% from subspecialists in shoulder and elbow (Shoulder and Elbow group), and 36.8% from generalists in orthopaedics or from other subspecialties (General Orthopaedists group). For diagnosis, 24.4% did not initially request any imaging method. The most requested exam was ultrasonography (54.9%). The most prominent indication for initial treatment was physical therapy. For refractory cases, 78.3% of the respondents preferred doing a local infiltration. The most commonly used substance for local infiltrations was corticosteroids (89.6%). With respect to the surgical treatment option, 75.8% of those who recommend it prefer open techniques, and 24.2% prefer arthroscopic treatment. Of the total respondents, 12.8% did not recommend surgical treatment for LE. Conclusion Among Brazilian orthopaedists, the Cozen test is most frequently chosen, and ultrasound is the most commonly used imaging tool. Nonsurgically, oral nonsteroidal anti-inflammatory drugs (NSAIDs) plus physiotherapy is the most popular initial therapy, and corticosteroids are the most popular type of infiltration agent. Most surgeons recommended surgery after 6 months of nonsurgical treatment, and 75.8% preferred the open technique.

Sign in / Sign up

Export Citation Format

Share Document