Posterior Interosseous Neuropathy in the Distal Radial Tunnel in a Contrabassoon Musician

OBJECTIVE: Bassoonists seem to have a high recorded prevalence of performance-related upper limb symptoms. Yet, the background for their symptoms has not been established. This study aimed to diagnose and treat the pathology that caused severe upper limb symptoms in a bassoon/contrabassoon musician...

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Bibliographic Details
Published in:Medical problems of performing artists 2014-03, Vol.29 (1), p.23-26
Main Author: Jepsen, Jørgen R
Format: Article
Language:English
Subjects:
Adult
Elbow - innervation
Humans
Immobilization
Male
Music
Nerve Compression Syndromes - diagnosis
Nerve Compression Syndromes - therapy
Neurologic Examination
Occupational Diseases - diagnosis
Occupational Diseases - therapy
Peripheral Nerves
Radial Neuropathy - diagnosis
Radial Neuropathy - therapy
Range of Motion, Articular
Treatment Outcome
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Summary:OBJECTIVE: Bassoonists seem to have a high recorded prevalence of performance-related upper limb symptoms. Yet, the background for their symptoms has not been established. This study aimed to diagnose and treat the pathology that caused severe upper limb symptoms in a bassoon/contrabassoon musician in order to allow him to continue his professional career in a symphony orchestra. METHODS: A detailed neurological bedside examination was undertaken and targeted physiotherapy offered. RESULTS: The physical examination demonstrated weakness, atrophy, and nerve trunk soreness, indicating an affliction of the posterior interosseous nerve (radial tunnel syndrome) or its muscular branches. The risk factors during bassoon playing are comparable to those reported from industrial exposures. The patient was able to resume playing after treatment by nerve mobilisation.
ISSN:0885-1158
1938-2766
DOI:10.21091/mppa.2014.1006