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[Hand surgery in musicians with rheumatoid arthritis].
1Abteilung für Handchirurgie, Plastische und Rekonstruktive Chirurgie, DRK-Klinik Baden-Baden. N-ELL@gmx.de
Summary
Hand surgery for rheumatoid arthritis in musicians requires individualized pre-operative planning. Careful consideration of the instrument and affected hand can help musicians continue playing music post-surgery.
Area of Science:
- Orthopedics
- Rheumatology
- Music Medicine
Background:
- The Hand Surgical Department of the DRK-Clinic in Baden-Baden focuses on hand surgery for musicians and rheumatoid hand conditions.
- Rheumatoid arthritis presents unique challenges in surgical management for musicians.
Purpose of the Study:
- To evaluate the outcomes of surgical interventions for musicians with rheumatoid arthritis.
- To highlight the specialized considerations for hand surgery in this patient population.
Main Methods:
- Retrospective analysis of seven musicians with rheumatoid arthritis treated between 1980 and 2001.
- Surgical procedures were performed on five musicians, totaling 18 operations.
- Pre-operative assessment included evaluating the impact of the instrument and affected digits, using test-splints where possible.
Main Results:
- Three of the five operated musicians successfully continued their musical careers long-term.
- One musician transitioned to a teaching role.
- One case was lost to follow-up.
Conclusions:
- Individualized surgical approaches are crucial for musicians with rheumatoid arthritis.
- Pre-operative assessment, including functional testing with splints, aids in predicting surgical outcomes.
- Careful planning can enable musicians to maintain their professional activities despite rheumatoid arthritis.