Andere naam:
Bicipital Tendonitis or Tenosynovitis, Cymbal Player's Shoulder.
 

Korte omschrijving:
In combinatie voorkomend met rotator cuff en slijmbeurs ontsteking/beknelling.
 

The orchestral percussionist is often called upon to play crash cymbals, the most physically demanding of all the percussion instruments.
The two metal plates, weighing as much as 5 Ibs. each, must be held in front of and away from the body when crashed. The cymbal player (in addition to being the most fearless player in the orchestra) employs the pectoralis major, latissimus dorsii, and teres major to adduct the arm.
From the softest "whisk" to a Wagnerian climax, both repetitious motion of the biceps tendon in the bicipital groove of the humerus and constant alternation of flexion and relaxation of the brachialis and biceps brachialis are required to produce a crash.
Although players may use either a downward or upward crashing stroke, in order to "finish" the crash the cymbals are usually lifted and turned out toward the audience to produce a brilliant sound: in total, a technique that places considerable stress on the percussionist's shoulders.
In addition, the physical demands of moving and transporting the instruments themselves on the job cannot be overlooked. Loading heavy equipment such as vibraphones or timpani into a vehicle is often "part of the gig" and a source of injury even for the musician who has been "careful" all week in practice.

 


Oorzaak:

Overbelasting , herhalende bewegingen

Signs and Symptoms of Biceps Tendonitis:
Pain and tenderness:
Will occur in the front or side of the shoulder around a joint May travel down to the elbow and forearm.
At night Is worse with activity/aggravated by movement --may occur when the arm is forcefully pushed upward overhead.
Tendon can be inflamed and boggy and the overlying skin may be warm and red.




Diagnose:

X-rays are inconclusive unless the biceps tendon is calcified which will show-up on the X-ray.
Positive signs on the Physical Examination when the biceps tendon is inflamed: Yergason Test, Lippman test, Ludington test and Booth and Marve transverse humeral ligament test may all be positive.

  • Pain on palpation over the inflamed tendon
  • Pain with resisted elbow flexion such as lifting an object (due to using the inflamed muscle tendon)
  • Pain with elbow extension (due to stretching the inflamed tendon)
 
 
Behandelaars:
 
Behandelingen:
Gerelateerde blessures:
Slijmbeursontsteking van de schouderFrozen ShoulderRotator Cuff Tendonitis
 
Symptomen:
Pijn bij aanraken, Pijn bij belasten, Pijn bij spelen, Pijn 's nachts, bij het slapen,
 
Instrumenten:
Trombone, Bekkens, Altviool, Cello, Contrabas, Viool,
 

Anatomie:
Ontsteking van de pees en/of de peesschede van de biceps aan de schouderkant. Deze spier laat de onderarm buigen en draaien.






 



Bronvermelding:
Flint
The impact of impact: the percussionist's shoulder, Jennifer Judkins,Med. Probl. Perform Art 669-70, 1991