Ulnar neuropathy at the elbow in computer keyboard operators
| Autor: | Amelia Breyre, Jonathan Dropkin, Svetlana Ilizarov, George Piligian, Nahid K Nainzadeh |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Electrodiagnosis Cumulative Trauma Disorders Elbow Ulnar neuropathy Physical medicine and rehabilitation Prevalence Humans Medicine Ulnar nerve Carpal tunnel syndrome medicine.diagnostic_test business.industry Rehabilitation Public Health Environmental and Occupational Health Middle Aged Computer keyboard medicine.disease Occupational Diseases body regions medicine.anatomical_structure Computer Terminals Private practice Upper limb Female Ulnar Neuropathies business |
| Zdroj: | Work. 39:93-101 |
| ISSN: | 1051-9815 |
| Popis: | Objective This case series sought to determine the prevalence of ulnar neuropathy at the elbow (UNE) by using electrophysiologic criteria among all computer keyboard operators (CKOs) referred over a four-year period (1995-1999) for electrodiagnosis (EDX) due to clinical suspicion of focal upper limb neuropathies. Participants All CKOs referred to an EDX laboratory for suspicion of focal upper limb neuropathies primarily from private practice physicians, mostly hand surgeons, and an occupational medicine clinic. Methods All 148 CKOs underwent NCV studies of the upper limbs, which included segmental studies of the ulnar nerve and were questioned for the presence and distribution pattern of paresthesias in the symptomatic upper limb(s). The CKOs provided the electromyographer with subjective descriptions of their workstation configuration, layout, and basic office equipment. Results Focal ulnar neuropathy at the elbow (UNE) was identified in 105 out of 148 CKOs referred to an EDX laboratory for clinical suspicion of upper limb focal neuropathies. Conclusions Compared with the more prevalent diagnosis of carpal tunnel syndrome (CTS), ulnar neuropathy at the elbow should also be considered among CKOs referred for EDX testing because of suspicion of focal upper limb neuropathies. Clinicians evaluating CKOs for suspicion of focal upper limb neuropathies should routinely ask about symptoms of ulnar neuropathy. |
| Databáze: | OpenAIRE |
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