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A-1217 Musicians
Philippe Cuenod, Switzerland
Thursday, June 14, 2018 · 11:06 a.m. · 12m 41s
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i think i think your remote so the the musicians uh also or
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a sports man but uh the you need to perfect can scale
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you need a an intact butter insensitive function and they need sensibility for interpretation and
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i really consider it the huge modern sensitive cortical
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area in the head for the hand in
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the brain it's no wonder that they have a high unless unless you know impact
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so after a trauma so we have to re so i thought and it to mean function in the media emotional impact
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and they are always at risk of it being a problem because they fear to lost a job
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and to los the to lose just feels so we we know oh
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all the the very famous musician like about we get signed
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willows uh an arm or lose an arm uh uh
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during the first war uh were war and pay pianos d. c.
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specially composed varying rubber shoe man and a general not
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who and uh uh burn retraction of d. four and
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five a change the technique and instrument and
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there is also the possibility to change the instrument to
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tailor the instrument and to adjust the technique and
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even them in a matter with a with a hand
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visibility can full uh fulfil expansion this is
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the we don't hear it but never mind is it what we want to
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to see that is able to play with two fingers the missing and no
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uh the epitome elegy of the fractures in musician is probably not
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uh the the incidence is probably not a a big uh it's not
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precisely reported and it's interesting to see that uh the musicians ooh
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it's easier to talk about their problems yeah yeah have
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factor the accident that tonight is and yeah
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we don't even know if they refrain from dangerous activity the other day i i heard a a
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plan is uh well of of world famous jenny saying well i wear gloves for gardening
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ten minutes then i many don't take any any precaution for gardening a dues
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do dangerous things so we we need surges and the
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early age of instruments and uh and that technique to identify and this and that the
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the needs of the patient then uh no the basic interface between han instrument
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it's important to examine the patient carefully with this instrument is it's possible
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even especially if it's unusual and five in the usual function
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sparing technique when operating and yeah i i i found
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eight hundred eighty a music instruments on the
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net in november two thousand seventy and by by this time i i found a new ones
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but that didn't even know they exist so let's
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talk about the the usual instruments that to that we know that we in ways encounter is
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i'm sorry for all well engine friends we have lots of interesting instruments which are not
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use here so we we need stoops to
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to see whether the instruments are different from uh uh
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uh from the okay so they just okay
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so the same instrument every different setting and it's interesting to see that the the small
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new orleans bands had two three four five instruments and then the the big band and then
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the big band with us allies and all this means that uh here is
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a different way to to to use these and some and then
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i i wouldn't going to to see all the details of this because anyway it's
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it will be on the available but it's interesting to see that some
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a movement are really required and others are not that
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important phrases it's not white necessary to have
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a a fraction of a the m. p. join for the right hand of the cello player
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but you need to have a uh like the the violent him by means some flexion extension but
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no it's just simply nation on the left and answer the
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as we can see here the the the the
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not the it requires for the the
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the can uh the vial riding plea and it's in
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the uh for the the the piano we can see
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as many techniques and they are uh uh my
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piano players tennis and uh what is important is to never could resist function because we need
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to have really sick sense in radio an addiction and a very good t. m. flexibility
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even if we have c. thing is pretty good t. m. flexibility we can make the the um
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the some under movement which is absolutely necessary but you can see that all these uh
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a great artist at all at a different technique for playing
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so it's again for for the the brass instruments some
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actually finding movements are required to like this
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one to to close the the um
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uh i'll call it the the battle of the of the uh
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the the horn to to change the sound and uh
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the the some ever grasping more then the flexibility and uh
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a brief through needs for instance uh uh it
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hyper extension of the m. p. join in a section of
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big section of the p. i. p. u. v. index finger in less in the media's but
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the the forty five uh more an extension and oboe clarinet and saxophone are much less
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um need much less section of the p. i. d. but more on the
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i. p. and sometime hyper extension to get to a a key
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the the packages of of it's very complex because it's difficult to classify actually and but
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most of people will use a a groups tactician they play with the
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with the steaks and they had different uh possibilities of holding on
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the right and in on the right hand it's important
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uh to have for the german would take me a four i mean presentation with flecks in
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h. since it's engine and for the french like me you need to have a different
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movement of radio not action so when we uh a
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patient uh with the the musician with a fracture
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the signs actually kill is a it is the same but uh it's important to
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i know what exact functional need he has its
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very often of very dramatic emotional presentation lots of uh the other
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patients a cry ah oh all fully uh stress about this
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we have to reassure them between them not to underestimate the legion
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not overestimate it and we have to be a bit tactful
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and explain the program is is and sometimes a good explanation in time with the the patient is better
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and see this or the big operations in sometimes we have
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we are facing a a problem of prior surgery elsewhere
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and sometimes that exactly this or do we have to choose an even if for
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uh that that gives a uh say say the the the
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oppose it with these big screw i think for that
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your case was big differences was more proximal but this patient at
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the uh uh the causes of the collaborate could resume
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work your butt playing with uh some adjustments so
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say management as normally but we have with us so that to me we try
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to get so small implement known a tray with mean invade easy technique
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think of the emotional can sequences and again take the necessary time to expose and perhaps
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uh it's sometime it's not the the the the the mechanical problem that is uh the the course
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of the the problem afterwards is the initial problem in the surgical planning is also important
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we are going to be a bit more aggressive sometimes if the patient agrees foreign operations
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and i we have to try and had an early mobility him progress see it
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you care for return to play not too intense not to to
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to to fail all the the work that we we've
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done this too early return him it might also will have
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the risk of compensatory movement in change of technique
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yeah but at that managed to get a meeting that the way the uh the musician plays
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it's activity surgical exposure and i just any
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answers anticipated make any could compromise
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with a position for instance of a think uh now that could be
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shoes afterwards in all we've you spontaneously in the functional position
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and this is the example of a guitar is was
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absolutely panicking was crying is it uh uh my care as finished uh will never
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and after four weeks it could resume solely playing guitar
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after having made made a um early movement
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the i didn't find the video to show you how in
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place and this is a a young girl was absolutely
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a sad because you could not play the piano and after
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if ten days she uh uh thirty these uh
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a a fixation with an interim is at the very clean of us a.
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k. a. to capital fracture of the major findings you could again
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uh play this is also gets released but this one was not allowed to
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play very early because what i want i want to do is to
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prevent arthritis and problem i'm sure that it could be treated conservatively in
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another patient but i could do these bracketed nicely eat it well
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but you have to also very big emotional problems this is also a problem
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that it can be it can joe provides a carrier in some
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musicians and it's possible to do it sometimes uh in the
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in the packet is fashioned and it brought back bring back
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the the the use a particular service with the
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with the uh in the uh instrument that is suitable for
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that and minimal fixation with screw and uh and uh
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and the k. wire we already mobility here and could resume rapidly playing the instrument
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with ah so this is the last case of the young
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gator is whoa uh the a long long lasting uh
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uh then universe devoid with displacement and yeah the standard
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uh in the actress graph and fixation with ellis screw an
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opinion and it was very happy you know it even
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yeah is is a crazy enough about music to to have a
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a scroll on his wrist any could resume without problem because he has
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