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Acute Wiiitis
Julio Bonis. The New England Journal of Medicine. Boston: Jun 7, 2007. Vol. 356, Iss. 23; pg.
2431
Abstract (Summary)
This article presents a case study of a healthy 29-year-old medical resident who awoke one
Sunday morning with intense pain in the right shoulder. A Patte's test was administered. The
results were positive, consistent with acute tendonitis isolated to the right infraspinatus.
Full Text (421 words)
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
To the Editor: A healthy 29-year-old medical resident awoke one Sunday morning with intense
pain in the right shoulder. He did not recall any recent injuries or trauma and had not participated
in any sports or physical exercise recently. He consulted a rheumatology colleague. The Patte's
test was positive, consistent with acute tendonitis isolated to the right infraspinatus.
After further review of his activities during the previous 24 hours, the patient recalled that he had
bought a new Nintendo Wii (pronounced "wee") video-game system and had spent several hours
playing the tennis video game. With the Wii system, the player faces a video screen and moves a
handheld controller (approximately 14.5 cm by 3.0 cm by 3.0 cm, with a weight of approximately
200 g) containing solid-state accelerometers and gyroscopes that sense three-dimensional spatial
movements. In the tennis video game, the player makes the same arm movements as in a real
game of tennis. If a player gets too engrossed, he may "play tennis" on the video screen for many
hours. Unlike in the real sport, physical strength and endurance are not limiting factors.
The final diagnosis for the isolated right shoulder pain was Nintendinitis. However, the variant in
this patient can be labeled more specifically as "Wiiitis." The treatment consisted of ibuprofen for 1
week, as well as complete abstinence from playing Wii video games. The patient recovered fully.
Nintendinitis was first described in 1990, 1 and there have been many case reports of injuries
related to intensive use of recreational technologies, mainly in children and mainly from intensive
use of the extensor tendon of the thumb. 2 3 4 5
With the growing use of this new video-game system, the risk of the Wiiitis variant may be higher
than that of Nintendinitis reported in the literature, especially among adults. The available games
for the Wii system already include golf, boxing, baseball, and bowling. Future games could involve
different and unexpected groups of muscles. Physicians should be aware that there may be
multiple, possibly puzzling presentations of Wiiitis.
Julio Bonis, M.D.
Instituto Municipal de Investigación Médica
E-08003 Barcelona, Spain
drbonis@gmail.com
[Reference]
1. Brasington R. Nintendinitis. N Engl J Med 1990;322:1473-4.
2. Macgregor DM. Nintendonitis? A case report of repetitive strain injury in a child as a result of playing](https://image.slidesharecdn.com/acutewiitis-110306151941-phpapp01/85/Acute-wiitis-1-320.jpg)
![« Back to Document View
Databases selected: Multiple Take our Dissertations Survey for a chance
databases... to win $100
Acute Wiiitis
Julio Bonis. The New England Journal of Medicine. Boston: Jun 7, 2007. Vol. 356, Iss. 23; pg.
2431
Abstract (Summary)
This article presents a case study of a healthy 29-year-old medical resident who awoke one
Sunday morning with intense pain in the right shoulder. A Patte's test was administered. The
results were positive, consistent with acute tendonitis isolated to the right infraspinatus.
Full Text (421 words)
Copyright © 2007 Massachusetts Medical Society. All rights reserved.
To the Editor: A healthy 29-year-old medical resident awoke one Sunday morning with intense
pain in the right shoulder. He did not recall any recent injuries or trauma and had not participated
in any sports or physical exercise recently. He consulted a rheumatology colleague. The Patte's
test was positive, consistent with acute tendonitis isolated to the right infraspinatus.
After further review of his activities during the previous 24 hours, the patient recalled that he had
bought a new Nintendo Wii (pronounced "wee") video-game system and had spent several hours
playing the tennis video game. With the Wii system, the player faces a video screen and moves a
handheld controller (approximately 14.5 cm by 3.0 cm by 3.0 cm, with a weight of approximately
200 g) containing solid-state accelerometers and gyroscopes that sense three-dimensional spatial
movements. In the tennis video game, the player makes the same arm movements as in a real
game of tennis. If a player gets too engrossed, he may "play tennis" on the video screen for many
hours. Unlike in the real sport, physical strength and endurance are not limiting factors.
The final diagnosis for the isolated right shoulder pain was Nintendinitis. However, the variant in
this patient can be labeled more specifically as "Wiiitis." The treatment consisted of ibuprofen for 1
week, as well as complete abstinence from playing Wii video games. The patient recovered fully.
Nintendinitis was first described in 1990, 1 and there have been many case reports of injuries
related to intensive use of recreational technologies, mainly in children and mainly from intensive
use of the extensor tendon of the thumb. 2 3 4 5
With the growing use of this new video-game system, the risk of the Wiiitis variant may be higher
than that of Nintendinitis reported in the literature, especially among adults. The available games
for the Wii system already include golf, boxing, baseball, and bowling. Future games could involve
different and unexpected groups of muscles. Physicians should be aware that there may be
multiple, possibly puzzling presentations of Wiiitis.
Julio Bonis, M.D.
Instituto Municipal de Investigación Médica
E-08003 Barcelona, Spain
drbonis@gmail.com
[Reference]
1. Brasington R. Nintendinitis. N Engl J Med 1990;322:1473-4.
2. Macgregor DM. Nintendonitis? A case report of repetitive strain injury in a child as a result of playing](https://image.slidesharecdn.com/acutewiitis-110306151941-phpapp01/75/Acute-wiitis-1-2048.jpg)
Acute wiitis
- 1. « Back toDocument View Databases selected: Multiple Take our Dissertations Survey for a chance databases... to win $100 Acute Wiiitis Julio Bonis. The New England Journal of Medicine. Boston: Jun 7, 2007. Vol. 356, Iss. 23; pg. 2431 Abstract (Summary) This article presents a case study of a healthy 29-year-old medical resident who awoke one Sunday morning with intense pain in the right shoulder. A Patte's test was administered. The results were positive, consistent with acute tendonitis isolated to the right infraspinatus. Full Text (421 words) Copyright © 2007 Massachusetts Medical Society. All rights reserved. To the Editor: A healthy 29-year-old medical resident awoke one Sunday morning with intense pain in the right shoulder. He did not recall any recent injuries or trauma and had not participated in any sports or physical exercise recently. He consulted a rheumatology colleague. The Patte's test was positive, consistent with acute tendonitis isolated to the right infraspinatus. After further review of his activities during the previous 24 hours, the patient recalled that he had bought a new Nintendo Wii (pronounced "wee") video-game system and had spent several hours playing the tennis video game. With the Wii system, the player faces a video screen and moves a handheld controller (approximately 14.5 cm by 3.0 cm by 3.0 cm, with a weight of approximately 200 g) containing solid-state accelerometers and gyroscopes that sense three-dimensional spatial movements. In the tennis video game, the player makes the same arm movements as in a real game of tennis. If a player gets too engrossed, he may "play tennis" on the video screen for many hours. Unlike in the real sport, physical strength and endurance are not limiting factors. The final diagnosis for the isolated right shoulder pain was Nintendinitis. However, the variant in this patient can be labeled more specifically as "Wiiitis." The treatment consisted of ibuprofen for 1 week, as well as complete abstinence from playing Wii video games. The patient recovered fully. Nintendinitis was first described in 1990, 1 and there have been many case reports of injuries related to intensive use of recreational technologies, mainly in children and mainly from intensive use of the extensor tendon of the thumb. 2 3 4 5 With the growing use of this new video-game system, the risk of the Wiiitis variant may be higher than that of Nintendinitis reported in the literature, especially among adults. The available games for the Wii system already include golf, boxing, baseball, and bowling. Future games could involve different and unexpected groups of muscles. Physicians should be aware that there may be multiple, possibly puzzling presentations of Wiiitis. Julio Bonis, M.D. Instituto Municipal de Investigación Médica E-08003 Barcelona, Spain drbonis@gmail.com [Reference] 1. Brasington R. Nintendinitis. N Engl J Med 1990;322:1473-4. 2. Macgregor DM. Nintendonitis? A case report of repetitive strain injury in a child as a result of playing
- 2. computer games. ScottMed J 2000;45:150. 3. Koh TH. Ulcerative "nintendinitis": a new kind of repetitive strain injury. Med J Aust 2000;173:671. 4. Menz RJ. "Texting" tendinitis. Med J Aust 2005;182:308. 5. Karim SA. Playstation thumb -- a new epidemic in children. S Afr Med J 2005;95:412. Indexing (document details) Subjects: Tendons, Injuries, Computer & video games, Medical diagnosis Author(s): Julio Bonis Document types: Feature Section: Correspondence Publication title: The New England Journal of Medicine. Boston: Jun 7, 2007. Vol. 356, Iss. 23; pg. 2431 Source type: Periodical ISSN: 00284793 ProQuest document ID: 1284065571 Text Word Count 421 DOI: 10.1056/NEJMc070670 Document URL: http://proquest.umi.com/pqdweb?did=1284065571&sid=1&Fmt=3&cl ientId=57473&RQT=309&VName=PQD Copyright © 2008 ProQuest LLC. All rights reserved. Terms and Conditions Text-only interface