Diagnostics of hand-arm system disorders in workers who use vibrating tools.
A hand-arm vibration syndrome occurs in some workers who use hand held vibrating tools.
It is recognised to consist of white fingers, diffusely distributed finger neuropathy, pain in the arm and hand, and a small excess risk of osteoarthrosis from percussion to the wrist and elbow.
Carpal tunnel syndrome is mainly due to ergonomic factors other than vibration, but certain factors related to vibration may contribute to its development.
A decrease in muscle power induced by vibration, and excessive hearing deficit have been postulated.
The assessment of a disorder suspected of being induced by vibration includes deciding whether there is a disorder and, if so, whether the symptoms can be caused by vibration.
To decide whether the symptoms can be caused by vibration epidemiological documentation and pathogenically reasonable theories must exist.
A causal diagnosis finally requires an epidemiological decision whether or not the factual exposure has elicited the patient's symptoms.
Epidemiological data on the quantitative association between vibration and excessive risks of white fingers and diffusely distributed neuropathy are incomplete.
The symptomatic diagnosis of white fingers is still mainly based on anamnestic information.
Available laboratory tests are incapable of grading the severity of individual cases. (...)
Mots-clés Pascal : Raynaud maladie, Canal carpien syndrome, Exposition professionnelle, Vibration, Membre supérieur, Appareil vibrant, Homme, Diagnostic, Technique, Médecine travail, Compression, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Capillaire sanguin pathologie, Peau pathologie, Système nerveux autonome pathologie, Acrosyndrome, Système nerveux pathologie, Nerf périphérique pathologie, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Raynaud disease, Carpal tunnel syndrome, Occupational exposure, Vibration, Upper limb, Vibrating apparatus, Human, Diagnosis, Technique, Occupational medicine, Compression, Cardiovascular disease, Vascular disease, Capillary vessel disease, Skin disease, Diseases of the autonomic nervous system, Acrosyndrome, Nervous system diseases, Peripheral nerve disease, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0174888
Code Inist : 002B17A08. Création : 21/05/1997.