ARRS 2022 Abstracts

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E1007. On a High Note: A Review of the Injuries That May Be Seen in Musicians - A Description, Mechanism, and Review
Authors
  1. Isidora Monteparo; New York Medical College
  2. Kevin Thompson; Westchester Medical Center
  3. Erin Choe; New York Medical College
  4. Omar Hamam; Westchester Medical Center
  5. Jared Meshekow; Westchester Medical Center
  6. Perry Gerard; Westchester Medical Center
Background
It is common to see injuries related to sports or accidents in the radiology department on radiographs, CT, and MRI. Typically, these injuries are the result of blunt force, falls, collisions, or overuse and strain. Similarly, injuries can also occur in those who practice music, oftentimes due to overuse and strain, as seen in some athletes. As with any profession, “practice makes perfect”, and oftentimes musicians encounter various injuries from the practice of music and the repetitive motions involved.

Educational Goals / Teaching Points
The goals of this exhibit are to discuss the types of injuries encountered by musicians; describe the mechanisms for injuries related to the practice of music; and explore the importance of recognizing musician-related injuries in this unique subset of patients.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Repetitive stress injuries (RSIs) are an umbrella term for musician-related injuries related to overuse and persistent musculoskeletal strain, with the most common being tendinitis, tenosynovitis, carpal tunnel syndrome, thoracic outlet syndrome, and thoracic and lumbar back pain. Much of these injuries are related to overuse and strain put on muscles and ligaments during hours of practice or are related to position; for example, while holding and pressing down on the neck and strings of a string instrument such as a guitar or cello, positioning of the chin for supporting a violin, use of a bow for a viola or bass, and repetitive wrist motions for percussionists. Similarly, pharyngoceles are also common issues that occur in woodwind-playing musicians. These injuries can become cumbersome and painful, leading many professional musicians to seek therapies or medical practitioners to alleviate pains, which may inhibit their performance in the short term. As for long term sequelae, some injuries, if left untreated, can lead to musicians having to leave a professional career due to their apparent disability.

Conclusion
It is important to take notice of the mechanism of injury in our patients; whether they are related to sports, accidents, trauma, or even something as seemingly harmless as the practice of music. By recognizing these specific injuries, we can better identify pathology, come to a more specific diagnosis, and therefore better serve our unique patient populations.