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

Authors

  • George Piligian MD, MPH,

    Corresponding author
    1. Mount Sinai School of Medicine, The Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY
    • Department of Community Medicine, Box 1057, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029-6574
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  • Robin Herbert MD,

    1. Mount Sinai School of Medicine, The Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY
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  • Michael Hearns MD,

    1. Hearns Professional Services, 3051 36th Street, Astoria, NY
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  • Jonathan Dropkin MS, PT,

    1. Mount Sinai School of Medicine, The Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY
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  • Paul Landsbergis EdD, MPH,

    1. Mount Sinai School of Medicine, The Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY
    2. Division of Hypertension, Weill Medical College of Cornell University, 525 East 68 St., New York, NY
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  • Martin Cherniack MD, MPH

    1. Ergonomics Technology Center, Division of Occupational and Environmental Medicine, University of Connecticut Health Center, 263 Farmington Ave., Farmington, CT
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Abstract

This clinical review will describe the epidemiology, clinical presentation, and management of the following work-related musculoskeletal disorders (WMSDs) of the distal upper extremity: deQuervain's disease, extensor and flexor 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 WMSDs 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 discussed in an accompanying paper. In an attempt to provide evidence-based treatment recommendations, literature searches on the treatment of each condition were conducted via Medline for the years 1985–1999. There was a dearth of studies evaluating the efficacy of specific clinical treatments and ergonomic interventions for WMSDs. Therefore, many of the treatment recommendations presented here are based on a consensus of experienced public health-oriented occupational medicine physicians from the NYSOHC network after review of 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. © 2000 Wiley-Liss, Inc.

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