Medical problems of the instrumentalist musician by Raoul Tubiana, Peter C. Amadio

By Raoul Tubiana, Peter C. Amadio

This can be a precise single-source reference protecting the big variety of difficulties which may impact the instrumentalist musician.

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13). 19 Lateral movements of the wrist. Radiographic frontal views showing complete radial and ulnar inclination. Note that the ulnar inclination is twice the radial inclination. During lateral movements, the relationship between the bones of the first carpal row, the articular surfaces of the forearm and the distal carpal row change and the shape of the scaphoid, lunate and triquetrum on the X-rays also changes. In radial deviation, the scaphoid is compressed between the distal radius and the trapezium, the distal tuberosity of the scaphoid collapses in volar flexion and the scaphoid appears to shorten.

M O V E M E N T S OF T H E T H U M B T h e thum b ray is made up o f the first metacarpal bone, a proxim al phalanx, and a distal phalanx. T h e three joints o f this b on y articular chain have different sectors o f m obility; the more proxim al they are, the m ore sectors o f m o b ility they have. T h e interphalangeal joint has a range o f about 8 0 ° o f flexion-extension. T h e M P jo in t o f the thum b has m u ch less m o b ility in flexion-extension than that in the other digits, but it has some radial in clin atio n w ith some degrees o f pronation.

39 M E D IC A L P R O B L E M S OF T H E I N S T R U M E N T A L I S T M U S IC I A N T h e fo u r lu m b ric a l m uscles have th eir o rigin on the p alm ar aspect o f each finger on the flexor profu n d u s tendons, insertin g dorsally on the extensor apparatus. T hese sm all m uscles p lay a co o rd in a tin g role betw een the extensor and flexor systems, and the richness o f sensory receptors at th eir level m akes them true p ro p rio c e p tive organs. In brief, the intrinsic muscles flex the proxim al phalanx and extend the tw o distal phalanges.

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