Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity

Citation
G. Piligian et al., Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity, AM J IND M, 37(1), 2000, pp. 75-93
Citations number
86
Categorie Soggetti
Envirnomentale Medicine & Public Health
Journal title
AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
ISSN journal
02713586 → ACNP
Volume
37
Issue
1
Year of publication
2000
Pages
75 - 93
Database
ISI
SICI code
0271-3586(200001)37:1<75:EAMOCW>2.0.ZU;2-M
Abstract
This clinical review will describe the epidemiology, clinical presentation, and management of the following work-related musculoskeletal disorders (WM SDs) of the distal upper extremity: deQuervain's disease, extensor and flex or forearm tendinitis/tendinosis, lateral and medial epicondylitis, cubital tunnel syndrome, and hand-arm vibration syndrome (HAVS). These conditions were selected for review either because they were among the most common WMS Ds among patients attending the New York State Occupational Health Clinics (NYSOHC) network, or because there is strong evidence for work-relatedness in the clinical literature. Work-related carpal tunnel syndrome is discusse d in an accompanying paper. In an attempt to provide evidence-based treatme nt recommendations. literature searches on the treatment of each condition were conducted via Medline for the years 1985-1999. There was a dearth of s tudies evaluating the efficacy of specific clinical treatments and ergonomi c interventions for WMSDs. Therefore, many of the treatment recommendations presented here are based on a consensus of experienced public health-orien ted occupational medicine physicians from the NYSOHC network after review o f the pertinent literature. A summary table of the clinical features of the disorders is presented as a reference resource. Am. J. Ind. Med, 37:75-93, 2000. (C) 2000 Wiley-Liss, Inc.