gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Use of biological therapy in post-surgical scar adherences in performing musicians

Meeting Abstract

Search Medline for

  • presenting/speaker Adriana Pemoff - Hospital Fernandez, Fundación Las Manos del Músico, Climba, Buenos Aires, Argentina
  • Candelaria Torre - Hospital Fernandez, Fundación Las Manos del Músico, Buenos Aires, Argentina
  • Hernán Blanchetiere - Hospital Fernandez, Fundación Las Manos del Músico, Climba, Buenos Aires, Argentina
  • Soledad Lett - Hospital Fernandez, Fundación Las Manos del Músico, Buenos Aires, Argentina
  • Maria Eulalia Landro - Hospital Fernandez, Buenos Aires, Argentina

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1110

doi: 10.3205/19ifssh0693, urn:nbn:de:0183-19ifssh06931

Published: February 6, 2020

© 2020 Pemoff et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: We propose, through a retrospective study, the possibility of improving functionality linked to the performance of instumentalist musicians who had adhesions of their post-surgical scars that affected the correct execution of their instrument.

Methods: We describe 4 musician patients: one with a history of olecranon osteosynthesis, with elbow scar adhesion that limited flexion-extension, another with a history of TFC plastic reconstruction, with scar adherence on the ulnar side of the wrist with pain and limitation of pronosupination and ulnar deviation. Another patient with a history of multiple interventions for scapholunate lesion with extensive incisions and scar adherence on the dorsolateral border of the wrist with regional pain due to neuritis of the radial nerve sensory branches and finally a patient with a history of EPL tenorrhaphy with scar adherence and limitation of the mobility of the thumb.

Three of the cases were treated by percutaneous rigotomy and injection of platelet-rich plasma (PRP) + stem cells derived from autologous adipose tissue and the fourth, only rigotomy with autologous PRP.

Results and Conclusions: In all cases, the range of regional joint mobility, pain according to VAS and improvement in instrument performance were evaluated objectively, as well as, subjectively with the DASH method, finding in all cases, symptomatic and functional improvement.

We believe that biological therapy is an alternative for hypertrophic or adherent scars in performing musicians who are limited in the proper execution of their instrument.