Myotonic dystrophy (MD) is rare disease that offers challenges to anesthesiologists. We report a case of adult patient with myotonic dystrophy who underwent laparoscopic cholecystectomy. A 48-year-old male patient, known case of MD, was presented for laparoscopic cholecystectomy. Physical examination revealed, young man, calm, quite, cooperative, not in pain or distress with frontal baldness, t...

In the year 1872, Duplay described a disease of the shoulder characterized by restriction of the movements in the shoulder-joint and by pains over the greater tuberosity of the humerus. The diagnosis of this disease was rather uncertain, as it was often mistaken for muscular rheumatism or incipient arthritis. The introduction of x-rays facilitated the differential diagnosis of this disease, as ...

OBJECTIVES To investigate the association between leisure physical activity and various pain symptoms in adolescents. METHODS In this nationwide cohort based cross sectional study in Finland, 698 schoolchildren, 344 girls and 354 boys, aged 10 to 17 years responded to a questionnaire on pain symptoms (neck and shoulder pain, upper back pain, low back pain, upper limb pain, lower limb pain, he...

Narration of Case.?Mrs B., residing at , two miles west from Dunbar, setat. 34. Personal History.?Good, with exception of considerable oedema pedum during pregnancy. Obstetrical History.?Five previous confinements (one of twins), all easy. Delivery on 21st October 1882. Pains short and irregular; rupture of amniotic sac some time before my arrival. Presentation left hand and shoulder, vertex ly...

  Frozen shoulder is a glenohumeral joint disorder that perturbs movement because of adhesion and the existence of fibrosis in the shoulder capsule. Platelet-rich plasma can produce collagen and growth factors, which increases stem cells and consequently enhances the healing. To date, there is no evidence regarding the effectiveness of platelet-rich plasma in frozen shoulder. A 45-year-old man ...

Polymyalgia rheumatica is a syndrome encountered by no means infrequently in middle-aged and elderly people. It is characterized by pains and stiffness, which are more severe in the morning, are felt to be in the shoulder and hip girdle muscles and often in the spine and are usually associated with fatigue, malaise, anorexia, loss of weight, and depression. The most constant laboratory finding ...

We conducted a study to ascertain specific patterns of pain in patients with common shoulder disorders and to describe a comprehensive shoulder pain map. We prospectively studied 94 cases involving an upper limb pain map and correlated the maps with the final diagnoses made by 2 clinicians who were blinded to the pain map findings. Pattern, severity, and type of pain were specific to each commo...

purpose: to evaluate ophthalmologists’ sitting position during ocular examination and surgery and to evaluate any correlation between musculoskeletal disorders and mean work time.   methods: this cross-sectional study was performed on ophthalmologists in isfahan, iran in different occupational positions including the office, during slitlamp examination and in the operating room. the evaluation ...

A 65 year old female presented with complaints of bilateral wrist pain and swelling, right upper arm pain, burning sensation and numbness of fingers bilaterally for the past 6 months. She also had bilateral knee pains for last 3 months. There was a history of easy fatigability, loss of appetite and weight loss (nearly 10 kg in last 1 year). The patient did not have any fever, morning stiffness ...