PM&REarly View Clinical Letter The Initial Appearance of Neurofibromatosis with the Onset of Pregnancy Myron M. LaBan MD, MMSc, Corresponding Author myjoy@comcast.net orcid.org/0000-0002-8031-344X Department of Physical Medicine and Rehabilitation, William Beaumont Hospital, Royal Oak, MI, USA Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA Address correspondence to : M.M.L.; e-mail: myjoy@comcast.netSearch for more papers by this author Myron M. LaBan MD, MMSc, Corresponding Author myjoy@comcast.net orcid.org/0000-0002-8031-344X Department of Physical Medicine and Rehabilitation, William Beaumont Hospital, Royal Oak, MI, USA Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA Address correspondence to : M.M.L.; e-mail: myjoy@comcast.netSearch for more papers by this author First published: 25 September 2020 https://doi.org/10.1002/pmrj.12501 Disclosure: none Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinked InRedditWechat No abstract is available for this article. Early ViewOnline Version of Record before inclusion in an issue RelatedInformation

Department of Physical Medicine and Rehabilitation Oakland University William Beaumont School of Medicine Rochester, Michigan. This study has not been presented at the AAPM&R Annual Assembly. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Department of Physical Medicine and Rehabilitation Oakland University William Beaumont School of Medicine Royal Oak, Michigan.

Like tennis, the game he loved, Ernest W. Johnson (Figure 1) played life itself with verve and boundless energy. He aggressively met every challenge at work or play with a whirlwind ability to multi-task fueled by a brilliant intellect. "Ernie", as he was commonly recognized by both the students and faculty of the Ohio State University (OSU) as well as his fellow physiatrists, was simultaneously a teacher and clinician, an author and editor, a departmental and resident director.

Department of Physical Medicine and Rehabilitation, Oakland University William Beaumont School of Medicine, Rochester, Michigan Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

LaBan, Myron M. MD, MMSc; Wang, Ay-Ming MD; Chrisman, Andrew MD; Lenger, Adam MD Author Information

'True' intercostal hernias, that is, those containing both pleura and lung components, occur infrequently. Only 300 cases have been reported since Rolland's initial description in 1499. Rarer still are intercostal muscle hernias, which occur without containing pulmonary components. In both instances, males predominate, usually a consequence of direct blunt chest trauma. In many instances, recognition of the intercostal muscle hernia may be delayed from weeks to months, its diagnosis masked by more obvious evidence of physical trauma.

American Journal of Physical Medicine & Rehabilitation 94(1):p e12, January 2015. | DOI: 10.1097/PHM.0000000000000236

From the Department of Physical Medicine and Rehabilitation (MML, MJ), and Department of Diagnostic Radiology, Section of Musculoskeletal Radiology (AL), Oakland University William Beaumont School of Medicine, Royal Oak, Michigan. All correspondence and requests for reprints should be addressed to: Myron M. LaBan, MD, MMSc, 3601 W 13 Mile Rd, Royal Oak, MI 48073. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

From the Department of Physical Medicine and Rehabilitation, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan. All correspondence and requests for reprints should be addressed to: Myron M. LaBan, MD, MMSc, 3601 W. 13 Mile Road, Royal Oak, MI 48073. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

From the Department of Physical Medicine & Rehabilitation, William Beaumont Hospital, Royal Oak, Michigan. All correspondence and requests for reprints should be addressed to: Myron M. LaBan, MD, MMSc, Department of Physical Medicine & Rehabilitation, William Beaumont Hospital, 3535 W. 13 Mile Rd, Royal Oak, MI 48073. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

To the Editor: The reviewers read with interest this article that describes the efficacy of therapeutic single-lead peripheral nerve stimulation in the treatment of hemiplegia with shoulder pain (HSP) as compared with those receiving usual and customary Btreatment.[ In the reviewers’ brief review of the literature, they identified 31 direct causes of shoulder pain in HSP alphabetically ranging from acromioclavicular dislocation to thoracic outlet syndrome. In addition, diaphragmatic irritation and cardiomyopathy, among others, were also reported as remote sources of HSP. As the authors also acknowledged, no one etiology has been identified as the inciting agents in HSP, and they can also be multifactorial. Although the authors list a number of exclusion criteria that eliminated subjects from this study, the primary inclusion diagnosis in both groups seemed to be Bidiopathic.[ Diagnosis, from the Greek diaignnskein, is the act of specifically identifying a disease from its signs and symptoms, thereby ensuring a specific plan of treatment tailored to this taxon. Idiopathic is, by definition, not a diagnosis but instead an admission that no singular cause has been identified as the inciting agent. In both cohorts, subluxation occurred in approximately 55% of the samples, suggesting that it played a prominent role as a direct cause or as a prominent contributor to the HSP. Arm-weighted distraction of the tethered structures of the shoulder and the neck including, among others, the bicipital tendon and/or the cervical spinal roots can be pain generators presenting as a tendinitis and/or cervical radiculopathy, respectively, in association with degenerative cervical disk disease. Immobility itself can contribute to the development of a subdeltoid bursitis, which, when untreated, can culminate with an adhesive capsulitis. Proximal venous occlusion of the subclavian vein as it passes under both the pectoralis major and the minor muscles can present as distal hand edema mimicking a sympathetic dystrophy. In both cohorts, the patients deserve a specific diagnosis with then an opportunity to receive diagnostic-specific treatment rather than historically related treatment, which has evolved from electric eels as well as electrostatic devices to the present single-lead and/or multilead peripheral nerve stimulation. This study’s results rest on the assumption that both cohorts are homogeneous and are therefore comparable. Instead, the descriptor, Bidiopathic[ would suggest otherwise. Without a definitive diagnosis for each subject, there is the potential for significant variability within each group and between each cohort. This heterogeneity introduces the distinct possibility that the reported statistical outcome in this relatively small sample, as well as one with excessive variability, occurred by a Brandom effect.[