Although post-stroke shoulder pain is a common medical complication among the stroke population, pseudotumor deltoideus which is non-malignant is rarely seen. This case report demonstrates a thorough history, physical examination followed by the relevant investigations are essential when managing a common post-stroke complication. We postulate that pseudotumor deltoideus is likely a pre-existing asymptomatic variant in our patient before the stroke and has presented symptomatically after the stroke due to the associated neurological and musculoskeletal impairments. As post-stroke shoulder pain is associated with unfavourable outcomes, it is important to recognise the underlying causes of post-stroke shoulder pain early and institute prompt appropriate treatment.
Occupational health is considered as a crucial element in almost every Small
and Medium Industries (SMIs) and it is believed to be one of vital challenges
that can influence productivity and competitiveness. It has been known that
the metal stamping industry involved a lot of materials handling tasks such as
carrying stamped parts from machine to packaging section, transferring moulds
from tools store to machines, sorting the finished products and others.
Appropriate materials handling equipments are not often provided in SMIs
because of the limitation of capital and lack of ergonomics awareness. The
workers have to handle the materials and goods manually. These practices
may lead to occupational injuries particularly back pain and musculoskeletal
injuries. The objectives of the research are to assess and analyze the muscles
activity of workers in metal stamping industry. Three male workers who
performed metal stamping process using manual technique were participated
in the research. Ergonomic assessment associated with Surface
Electromyography (SEMG) was used to capture and interpret the data related
to muscles activity at before and after the ergonomic intervention. For the
purpose of muscle activity assessment, SEMG electrodes were attached to eight
critical muscles: deltoid muscle-medial part (left), deltoid muscle-medial part
(right), trapezius muscle (left), trapezius muscle (right), erector spinae muscle
(left), erector spinae muscle (right), gastrocnemius muscle (left) and
Acromioclavicular joint (ACJ) dissociation is one of the common injuries affecting adults. The stability of ACJ largely depends on the integrity of acromioclavicular ligament, coracoclavicular ligament, capsule, trapezius muscle and deltoid muscle. The injury has been classified by Rockwood into six types and treatment options can be guided by the classification. TightRope fixation is one of the many surgical procedures available to address acromioclavicular joint separation. It consists of tensioning of a no. 5 Fibrewire suture secured at both ends to low-profile metallic buttons. Despite various advantages of using this technique, complications such as suture cut-out, clavicle fracture and suture failure have been documented. The author presents a case of a type III acromioclavicular joint dissociation treated with TightRope which suture cutout was noted intra-operatively. Decision to amend the fixation using a cut one-third tubular plate as an additional anchor for the metallic button on the clavicle was made. Patient's progress was evaluated using the University of California at Los Angeles Shoulder Score (UCLA Shoulder Score) and significant improvement was noted six months post operatively. We propose this technique as a solution to the encountered problem.