[The musician's hand: 2 case reports from the hand surgery clinic].
Report of the hand surgical treatment in two musicians, which enabled them to continue with their occupation. A young cellist was no longer able to play his instrument due to a painful scar at the pulp of his left index finger. The surgical treatment, performed only after a period of hesitation, consisted in scar excision and reconstruction of a normal pulp by a palmar advancement flap. Following a fracture of the distal radius, healed in 35 degrees dorsal angulation, a violinist was not able to flex his wrist maximally as required for playing in high octaves. This was again possible after a corrective osteotomy with interposition of a corticocancellous bone graft from the iliac crest and an intensive program of postoperative excercises. The important role of the cooperation of the patient, particularly in the rehabilitation, is emphasized.
Buck-Gramcko
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Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
D000328:Adult; D016025:Bone Transplantation; D001864:Bone Wires; D002921:Cicatrix / Q000601:surgery; D005385:Fingers / Q000601:surgery*; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D009146:Music; D009784:Occupational Diseases / Q000601:surgery*; D009790:Occupations; D010027:Osteotomy; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation* / Q000601:surgery*; D013524:Surgical Flaps; D013997:Time Factors