PubMed · 458751
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K Kuczynski. 1979. Observations on the hand.. https://pubmed.ncbi.nlm.nih.gov/458751/
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Musicians are a unique group, requiring digital control and skills at the highest levels. Each instrument has its own special needs and the musician must be seen in the context of the instrument played. Surgery also must be seen in this context. The special areas of modification of technique and some of the more commonsurgical situations encountered in musicians are considered in this article.
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A thumb lacking intrinsic muscle function but having extrinsic flexion will hyperflex in the interphalangeal joint giving a positive Froment's sign. This can effectively be prevented with split flexor pollicis longus tenodesis. The mean postoperative range of motion in the IP joint of 39 hands was 28 (18) degrees and 23 (20) degrees six and 12 months postoperatively. The procedure makes arthrodesis (temporary or permanent) superfluous. This procedure can be recommended strongly.