Assuntos
Ortopedia , Traumatismos da Mão/cirurgia , História do Século XX , História do Século XXI , Humanos , MasculinoRESUMO
Focal dystonia is probably the most disabling professional disorder in musicians, as it decreases the technical level of performances and may end a career. The instrumentalist is progressively unable to control the movement of one or more fingers when playing. Although, the exact cause of the disorder is still debated, it seems that focal dystonia is the consequence of seveal factors. Musician's focal dystonia poses difficult problems of diagnosis and of therapy, which are discussed in this article.
Assuntos
Distúrbios Distônicos/diagnóstico , Distúrbios Distônicos/fisiopatologia , Mãos/fisiopatologia , Música , Distúrbios Distônicos/epidemiologia , Distúrbios Distônicos/terapia , Humanos , Exame Neurológico , Exame Físico , Fatores Sexuais , Resultado do TratamentoRESUMO
Palliative tendon transfer procedures for radial nerve palsy are continuing to evolve. The main modifications have concerned the operative techniques and the choice of procedures to adapt surgery to the needs of the patient. A study of all the elements of tendon transfer has been undertaken and has gradually led us to describe two basic methods of transfer either using or not using the flexor carpi ulnaris for transfer. The essential consideration is the avoidance of radial deviation of the wrist by centralizing the insertion of the extensor carpi radialis longus.