Table Of ContentMEDICAL PROBLEMS OF THE
INSTRUMENTALIST MUSICIAN
MEDICAL PROBLEMS OF THE
INSTRUMENTALIST
M U S I C I A N
Edited by
RAOUL TUBIANA,
MD, FRCS Ed (Hon)
Past President, Institut de la Main, Paris
and
PETER C AMADIO,
m d
Consultant in Hand Surgery, Professor of Orthopedic Surgery,
Mayo Clinic, Rochester, Minnesota, USA
informa
healthcare
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CON TENTS
List of contributors viii
Acknowledgements xi
Preface xiii
Functional anatomy 1
Raoul Tubiana
2
Anatomy of the hand and upper limb 5
Raoul Tubiana
3
Anatomy of the spine 55
Adalbert I Kapandji
4
Biomechanics of performance 69
Eiji Itoi, Naotaka Sakai and Kai-Nan An
5
Command and control of hand functions 91
Pierre Rabischong
6
Neurophysiology and performance 121
Richard J Lederman
7
Psychology of the musician 135
Aynsley M Smith, Anastasia Maragos and Alison L Van Dyke
8 Epidemiology and risk factors 171
Alice G Brandfonbrener
9
Survey of orchestras 195
t Ian James
v
C O N T E N T S
Clinical approaches 203
Christopher Wynn Parry
Musculoskeletal occupational disorders 219
Fadi Joseph Bejjani
Overuse syndrome 245
Hunter J H Fry
Compression neuropathies of the upper extremities 273
Robert J Spinffer and Peter C Amadio
Occupational cramps/focal dystonias 295
Fred FI F[ocl)berg and Natasha S Hoehberg
Current controversies on the origin, diagnosis and management
of focal dystonia 311
Frank R Wilson
Musician’s focal dystonia 329
Raoul Tubiatia
Functional assessment and rehabilitation of musician’s focal dystonia 343
Philippe Chamagne
Psychological approach to focal dystonia in musicians 363
Benedicte Kolle
Prolonged rehabilitation treatment of musician’s focal dystonia 369
Raoul Tubiana and Philippe Chamagne
Glenn Gould’s hand 379
Frank R Wilson
Posture 399
Jan Dommerholt
The role of surgery 421
Peter C Amadio
Special techniques and planning issues in surgery 433
Ian Winspur
VI
CONTENTS
24
Postoperative hand rehabilitation 453
Keith A Bengtson
25
Orofacial problems 467
Pierre Dana
26
Vision problems 491
Monique Fournier, Genevieve Prevost and Frangoise Zamfirescu
27
Stage fright 507
Andre-Franqois Arcier
28
The handicapped musician 521
Yves Allien, Jean Pillet and Annie Didierjean
29
Prevention 531
Jennifer A Green, Philippe Chamagne and Raoul Tubiana
30
Promoting a healthy keyboard technique 559
Stepba?iie Brown
31
Violin technique 573
Donald Weilerstein and Christopher Neal
32
Applied ergonomics 595
Richard N Norris
Index 615
vii
LIST OF CONTRIBUTORS
Yves Allieu MD Service de Chirurgie Orthopedique et Traumatologique II,
Hopital Lapeyronie, F-34295 Montpellier Cedex 5, France
Peter C Amadio MD Hand Surgery, The Mayo Clinic, Rochester, MN 55905
USA
Kai-Nan An Biomechanics Laboratory, Division of Orthopedic Research,
Mayo Clinic and Mayo Foundation, Rochester, MN 55905,
USA
Andre-Francois Medecine des Arts, F-82000 Montauban, France
Arcier MD
Fadi Jose ph Atlantic Occupational Orthopaedic Centres, PA,
Bejjani MD Maplewood, NJ 07040, USA
Keith A Bengtson MD Physical Medicine and Rehabilitation, Mayo Clinic,
Rochester, MN 55905, USA
Alice G Medical Program for Performing Artists, Rehabilitation
Brandfonbrener MD Institute of Chicago, Northwestern University Medical
School, Chicago, IL 60611, USA
Stephanie Brown Piano Department, Purchase College Conservatory of Music,
State University of New York, Purchase, NY, USA
Philippe Chamagne Consultant Physical Therapist, Conservative National
Superieur de Musique Paris, France
Pierre Dana DCD, DSO F-75012 Paris, France
Annie Didierjean MD SOS Main, F-67000 Strasbourg, France
Jan Dommerholt Pain and Rehabilitation Medicine, International Myofascial
MPS, PT Pain Academy, Bethesda, MD 20814-2432, USA
Monique Fournier Department of Ophthalmology, Hopital des Quinze-Vingts,
F-75012 Paris, France
Hunter J H Fry MS, Plastic, Reconstructive and Hand Surgery, 1003 Southside
FRCS, FRACS, DMA, Tower, Southbank 3006, Victoria, Australia
MHHh of Medlaw,
FACLM, FACFE
LIST OF CONTRIBUTORS
Jennifer A Green Department of Hand Surgery, St George Hospital, Sydney,
MD, FRACS New South Wales, Australia
Fred H Hochberg MD Neurology Service, Massachusetts General Hospital, Boston,
MA 02,114, USA
Natasha S Hochberg Case Western University School of Medicine, Cleveland,
OH 44106, USA
Eiji Itoi MD Department of Orthopedic Surgery, Akita University School
of Medicine, Akita, 010-8543, Japan
■flan Janies
Adalbert I Kapandji Clinique de l’Yvette, F-91160 Longjumeau, France
MD
Benedicte Kolle 9, avenue de Mirabeau, F-95600 Eaubonne, France
Richard J Lederman Department of Neurology, Cleveland Clinic Foundation,
MD Cleveland, OH 44195, USA
Anastasia Maragos Sports Medicine Center, Mayo Clinic, Rochester, MN
55905, USA
Christopher Neal Naples Philharmonic Orchestra, Naples, FL 34106, USA
MMA
Richard N Norris MD Arts Medicine Program, Pioneer Spine and Sports Medicine
Physicians, West Springfield, MA 01089, USA
Jean Pillet MD 32, rue Godot de Mauroy, F-75009 Paris, France
Genevieve Prevost Department of Ophthalmology, Hopital des Quinze-Vingts,
F-75012 Paris, France
Pierre Rabischong MD Department of Anatomy, Faculty of Medicine of
Montpellier, F-34000 Montpellier, France
Naotaka Sakai MD Department of Orthopedic Surgery, Yokohama City
University School of Medicine, Yokohama, 236-0004
Japan
Aynsley M Smith Sports Psychology, Sports Medicine Center, Mayo Clinic,
RN, PhD Rochester, MN 55905, USA
Robert J Spinner MD Department of Neurologic Surgery, Mayo Clinic, Rochester,
MN 55905, USA
Raoul Tubiana MD, Institut de la Main, F-75016 Paris, France
FRCS Ed (Hon)
Alison L Van Dyke Sports Medicine Center, Mayo Clinic, Rochester, MN
55905, USA
Donald Weilerstein Cleveland Institute of Music, Cleveland, OH 44106, USA
IX
LIST OF CONTRIBUTORS
Frank R Wilson MD Departments of Neurology and of Physical Therapy and
Rehabilitation Science, Peter F Ostwald Health Program for
Performing Artists, University of California at San
Francisco/Mt Zion Medical Center, San Francisco, CA
94115, USA
Ian Winspur MD, Hand Clinic, The Devonshire Hospital, London W IN 1RF,
FRCS, FACS UK
Christopher Wynn Hand Clinic, The Devonshire Hospital, London W IN 1RF,
Parry MBE, DM, UK
FRCP, FRCS
Fran9oise Zamfirescu Department of Ophthalmology, Hopital des Quinze-Vingts,
F-75012 Paris, France
x
