De Quervain's tenosynovitis as an occupational disease in agricultural worker: A case report.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sonja Medic-Pericevic, Ivan Mikov, Milorad Spanovic, Nada Maric, Jelena Zvekic-Svorcan, Rastislava Krasnik
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引用次数: 0

Abstract

Background: De Quervain's tenosynovitis is upper-limb disorder, more frequent in women. It is rarely recognized as an occupational disease.

Objective: In this paper we reported work related de Quervain's tenosynovitis in cow milker.

Methods: Ergonomic risk factors were assessed by utilizing assessment of repetitive tasks (ART) of the upper limbs method. Physical examination and imaging exams were used.

Results: We presented a 36-year-old female agricultural worker (workplace cow milker) exposed to work factors (forceful hand/wrist exertions, repetition, extreme postures) for 14 years. She was suffering the pain in the right hand, mainly near the thumb for few years. She was treated conservatively and surgically, however disability was permanent. Clinical examination showed slight edema of the right hand, increased palm's sweating. Patient had reduced range of movements and grip strength.

Conclusions: Report shows that work-related factors were strongly associated with diagnosed de Quervain's tenosynovitis. Hand function plays an essential role in carrying out activities of daily living and this disorder pose a relevant burden of disease. Exposure to biomechanical factors should be an important initial target for the prevention of De Quervain's tenosynovitis in the working population.

农业工人的职业病--德-克万腱鞘炎:病例报告。
背景:杜氏腱鞘炎是一种上肢疾病,多发于女性。它很少被认为是一种职业病:本文报告了挤奶工在工作中患上的杜氏腱鞘炎:方法:采用上肢重复性工作(ART)评估法对人体工程学风险因素进行评估。采用体格检查和影像学检查:我们介绍了一名 36 岁的女性农业工人(工作场所挤奶工),她 14 年来一直受到工作因素(手/腕部用力、重复工作、极端姿势)的影响。几年来,她的右手(主要是拇指附近)一直疼痛难忍。她曾接受过保守治疗和手术治疗,但残疾是永久性的。临床检查显示右手轻微水肿,手掌出汗增多。患者的活动范围和握力减弱:报告显示,与工作相关的因素与确诊的杜氏腱鞘炎密切相关。手部功能在日常生活中起着至关重要的作用,这种疾病会造成相关的疾病负担。生物力学因素应成为预防工作人群中德-夸尔曼氏腱鞘炎的重要初始目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Work-A Journal of Prevention Assessment & Rehabilitation
Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.00
自引率
30.40%
发文量
739
期刊介绍: WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
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