Pizard M
Ann Chir Main Memb Super. 1993;12(1):56-62. doi: 10.1016/s0753-9053(05)80261-3.
Destabilisation of the first carpometacarpal joint in musicians and in occupational cramps constitutes a functional dystonia. Joint laxity predisposes to these conditions as well as the musician's technique or the working position. This destabilisation can cause a lesion of the anterior oblique ligament of the trapezo-metacarpal joint progressing towards osteoarthritis in the long term. Rehabilitation attempts to act on the functional dystonia and on the hand by maintaining carpo-metacarpal structures and reinforcing the musculature of the hand.
音乐家和职业性痉挛患者的第一腕掌关节失稳构成功能性肌张力障碍。关节松弛、音乐家的演奏技巧或工作姿势都易引发这些病症。这种失稳长期来看可导致大多角骨-掌骨关节前斜韧带损伤并发展为骨关节炎。康复治疗旨在通过维持腕掌结构和增强手部肌肉组织来应对功能性肌张力障碍和手部问题。
