Evaluation of work-related carpal tunnel syndrome
Evaluation of work-related carpal tunnel syndrome
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DOI：
10.1007/s10926-006-9026-3
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发表时间：
2006-06-01
影响因子：
3.3
通讯作者：
Werner, Robert A.
中科院分区：
文献类型：
--
作者：
Werner, Robert A.
目标：腕管综合症 (CTS) 在工业环境中很常见，但仍有一些倡导者认为 CTS 不是与工作相关的问题。关于确定诊断的正确方法以及是否有必要在工业环境中进行 CTS 筛查也存在争议。方法：综合文献综述。结果：文献确实表明，工业环境中 CTS 的患病率明显高于一般人群。许多流行病学研究已经确定了独立的危险因素，其中包括重复性工作、用力、机械应力、姿势和振动以及一些个人辅助因素。讨论了这些协会的实力。讨论了建立与工作相关的 CTS 的诊断标准以及工作场所常用的各种筛查方法的有效性。建立或确认 CTS 诊断的神经传导研究的敏感性和特异性与产业工人的规范数据一起提供。结论：CTS 既有工作相关风险因素，也有个人风险因素。最好结合病史、症状分布和使用规范数据进行中位感觉测试的相对潜伏期进行确认来确定诊断。在工业环境中筛查 CTS 的益处值得怀疑。
Objectives: Carpal tunnel syndrome (CTS) is common in the industrial setting but there are still some advocates who argue that CTS is not a work related problem. There are also controversies about the proper way to establish the diagnosis and whether screening for CTS in the industrial setting is warranted. Methods: A comprehensive literature review. Results: The literature does demonstrate that the prevalence of CTS in the industrial setting is significantly higher than in the general population. Numerous epidemiologic studies have identified independent risk factors, which include repetitiveness of work, forceful exertions, mechanical stress, posture, and vibration as well as several personal co-factors. The strength of these associations are discussed. The diagnostic criteria for establishing work-related CTS are discussed as well as the effectiveness of various screening methods that are commonly used in the workplace. The sensitivity and specificity of nerve conduction studies to establish or confirm the diagnosis of CTS is presented along with normative data for the industrial worker. Conclusions: CTS has both work-related and personal risk factors. The diagnosis is best established using a combination of history, symptom distribution and confirmation using the relative latency of median sensory testing using normative data. Screening for CTS in the industrial setting has questionable benefit.