Linburg–Comstock anomaly in musicians

Karalezli, Nazım; Karaköse, Serdar; Haykir, Rahime; Yağişan, Nihan; Kaçıra, Burkay Kutluhan; Tuncay, İbrahim

doi:10.1016/j.bjps.2006.01.003

Cited by 28 publications

(27 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rennie and Muller state that such an anomaly might be present in about 20% of population based on their study on 200 asymptomatic people, although it rarely causes symptoms . A similar variation was noticed in 13% of musicians studied by Karalezli et al . The same authors demonstrated that the utility of magnetic resonance imaging in localizing the anomalous tendinous connection in all of their patients (nine) with a clinical diagnosis of the condition, which they advocate, is useful in reduction in surgical time and the degree of scarring, due to the limited incision possible .…”

supporting

confidence: 66%

“…The same authors demonstrated that the utility of magnetic resonance imaging in localizing the anomalous tendinous connection in all of their patients (nine) with a clinical diagnosis of the condition, which they advocate, is useful in reduction in surgical time and the degree of scarring, due to the limited incision possible . The usefulness of surgical exploration and release in symptomatic patients of this condition has been well demonstrated …”

mentioning

confidence: 94%

See 1 more Smart Citation

Linburg–Comstock anomaly of the flexor tendons of hand

Kalappa

Shankar

Kadadi

et al. 2014

ANZ Journal of Surgery

View full text Add to dashboard Cite

supporting

confidence: 66%

mentioning

confidence: 94%

Linburg–Comstock anomaly of the flexor tendons of hand

Kalappa

Shankar

Kadadi

et al. 2014

ANZ Journal of Surgery

View full text Add to dashboard Cite

“…This is observed clinically in about one in five hands. The anomaly appears less frequently in musicians (Karalezli et al . 2006), but rarely requires surgical excision.…”

Section: Tendon Inter‐muscle and Intramuscular Connectionsmentioning

confidence: 99%

Constraints for control of the human hand

Duinen

Gandevia

2011

The Journal of Physiology

View full text Add to dashboard Cite

More than 30 muscles drive the hand to perform a multitude of essential dextrous tasks. Here we consider new views on the evolution of hand structure and on peripheral and central constraints for independent control of the digits of the hand. The human hand is widely assumed to have evolved from hands like those of African apes, yet recent studies have shown that our hands and those of the earliest hominids are very similar and unlike those of living apes. Understanding the limits of hand function may come from investigation of our last common ancestor with the great apes, rather than the great apes themselves. In the periphery, movement across the full range of joint space can be limited by mechanical linkages among the extrinsic muscles. Further, peripheral limits occur when the hand adopts some positions in which the contraction of muscles fails to move the joints on which they usually act; there is muscle 'disengagement' and functional paralysis for some actions. Surprisingly, the central nervous system drives the hand seamlessly through this landscape of mechanical limits. Central constraints on control of the individual digits include the spillover of neural drive to neighbouring muscles and their 'compartments' , and the inability to make maximal muscle forces when multiple digits contract strongly which produces a force deficit. The pattern of these latter constraints correlates with amounts of daily use of each digit and favours enslaved extension to lift fingers from an object but selective flexion of fingers to contact it.

show abstract

“…9 Thickened tenosynovium of the intertendinous slip between the FPL and FDP has been described, and surgical release of this interconnection and its thickened tenosynovium is an effective treatment. [1][2][3][4][5][6][7] Several epidemiology studies have been reported. 1,2,7 The effect of the Linburg-Comstock anomaly on key pinch strength is unknown.…”

mentioning

confidence: 99%

“…[1][2][3] The rare symptomatic cases typically have pain or discomfort in the volar aspect of the wrist or distal forearm, often aggravated by continuous and repetitive hand activity. [1][2][3][4][5][6][7] The lack of independent flexion of the index and thumb in this anomaly can be problematic for musicians 2,3,8 and even fatal for security staff using guns. 9 Thickened tenosynovium of the intertendinous slip between the FPL and FDP has been described, and surgical release of this interconnection and its thickened tenosynovium is an effective treatment.…”

mentioning

confidence: 99%