She was discharged from hospital on Friday, but a bullet remains lodged in her shoulder blade.

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"He's lost 105lb (47.7kg) and has developed degenerative arthritis and a mass behind his right shoulder blade, " she said.

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The rotator cuff, a group of tendons and muscles connecting the upper arm to the shoulder blade, is also important to paddling.

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Her husband, Alex Primis, said she was shot once in the left shoulder and again through the back of her shoulder blade.

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Smith suffered a punctured lung, four fractured ribs, a broken shoulder blade and a fractured arm riding for Elite League Ipswich Witches less than two weeks ago.

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In other words, a new metal "ball" is attached to the shoulder blade, or scapula, and a plastic cup is put at the upper end of the humerus bone.

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Unlike in a healthy shoulder, where the humerus ends in a ball shape and fits into the shoulder blade to form a shoulder, in reverse shoulder replacement surgery the anatomy is reversed.

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Johnson is also hoping Croft, who was thought likely to miss the entire Six Nations as he recovers from a fractured shoulder blade sustained against South Africa in November, could play a part before the end of the tournament.

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He struggled to breathe against the dextrorotated pressure of his ribs, stretching farther and farther to the side, very early one morning, until he felt a flat pop in the upper part of his back and then pain beyond naming somewhere between his shoulder blade and spine.

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