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Related Concept Videos

Muscles of the Anterior Neck01:26

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The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
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The superior view of the cranium shows the frontal and paired parietal bones.
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Updated: Mar 7, 2026

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Fiddler's neck: A review.

Calvin W Myint1, Amy L Rutt, Robert T Sataloff

  • 1Department of Otolaryngology, Augusta University Medical Center, Augusta, GA, USA.

Ear, Nose, & Throat Journal
|February 24, 2017
PubMed
Summary

Fiddler's neck, a skin condition in violinists, results from instrument use. Management focuses on conservative treatments like topical steroids and adjusting playing habits, avoiding surgery.

Area of Science:

  • Dermatology
  • Otolaryngology

Background:

  • Fiddler's neck is a common skin condition affecting violin and viola players.
  • It presents as submandibular or supraclavicular lesions, potentially misdiagnosed as other serious conditions.

Observation:

  • Submandibular fiddler's neck arises from mechanical pressure and shear stress, causing erythema, scarring, edema, and lichenification.
  • Supraclavicular fiddler's neck results from allergic contact dermatitis, presenting as eczematous, scaly, or vesicular lesions.

Findings:

  • Diagnosis relies on patient history (instrument use), physical examination, and patch testing.
  • Conservative management includes topical steroids, proper instrument handling, neck padding, material changes, and reduced playing time.

Implications:

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  • Otolaryngologists should recognize fiddler's neck and avoid surgical excision.
  • Understanding the distinct causes and presentations is crucial for effective diagnosis and management of this benign condition.