Zusammenfassung
Es wird berichtet über den seltenen Fall eines Gitarristen, der nach Umstellung seiner
Instrumentenhaltung ein Kompressionssyndrom des N. medianus am Abgang des N. interosseus
anterior durch Druck der Gitarrenzarge erlitt. Das Krankheitsbild imponierte als partielle
Lähmung des N. interosseus anterior (Ausfall des tiefen Zeigefingerbeugers bei intakter
Funktion des Flexor pollicis longus) mit zusätzlichen Parästhesien am Zeigefinger.
Der Patient wurde mit einem gepolsterten Ärmel versorgt, in den ein Gelkissen eingearbeitet
ist. Mit diesem Hilfsmittel bildeten sich die Lähmungserscheinungen innerhalb von
sechs Wochen vollständig zurück, ohne dass das Instrumentalspiel unterbrochen werden
musste.
Abstract
A rare case of median nerve compression syndrome is reported in a guitar player who
had changed the posture and position of his instrument so that the edge of the guitar
exerted sharp pressure on the median nerve close to the branching of the interosseous
anterior nerve. There was partial paralysis of the interosseous anterior nerve with
complete failure of the deep flexor of the index finger, while the flexor pollicis
longus was intact. There was also paresthesia of the index finger. Treatment was conservative
with a sleeve including a gel cushion which protected the forearm against the edge
of the instrument. Function recurred completely within six weeks without ever interrupting
instrument practice.
Schlüsselwörter
Nervus interosseus anterior-Syndrom - Musiker - Gitarrist - Nervenkompression - Gelbody
Key words
Anterior interosseous nerve syndrome - guitar player - nerve compression - gelbody
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Priv.-Doz. Dr. med. Bernd Rieck
Klinik für Plastische Chirurgie und Handchirurgie
Klinikum Hildesheim GmbH
Weinberg 1
31134 Hildesheim
Email: b.rieck@t-online.de
