Exposure to hand-arm vibrations in the workplace and the occurrence of hand-arm vibration syndrome, Dupuytren’s contracture, and hypothenar hammer syndrome: a systematic review and meta-analysis

Gerger, Heike; Søgaard, Karen; Macri, Erin M; Jackson, Jennie A.; Elbers, Roy G.; vanRijn, Rogier; Koes, B.W.; Chiarotto, Alessandro; Burdorf, Alex

doi:10.1080/15459624.2023.2197634

Cited by 10 publications

(1 citation statement)

References 33 publications

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“…The existence of vibration syndrome as a clinical entity causing adverse circulatory and neural effects in the hand has been known since the 1930s [32][33][34] . Earlier known as "vibration white finger," this condition has been reported to occur after long-term occupational exposure to vibrating hand tools 35,39,52,53 . Elevated plasma levels of thrombomodulin have been noted among persons engaged in occupations that require prolonged use of vibrating hand tools such as chainsaws and rock drills 54 .…”

Section: Discussionmentioning

confidence: 99%

Thrombosed Persistent Median Artery with Coexisting Bifid Median Nerve in a Robotic Arthroplasty Surgeon

Eachempati,

Parameswaran,

Yadav

et al. 2024

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Case: A 47-year-old orthopaedic surgeon presented with acute volar left wrist pain. He performed over 250 robot-assisted knee arthroplasties each year. Color Doppler evaluation revealed bilateral persistent median arteries and bifid median nerves, with focal occlusive thrombosis of the left median artery. He was advised rest and oral aspirin. He could return to his professional activities after 1 month. He had no recurrence of symptoms at 1 year of follow-up. Conclusion: Orthopaedic surgeons use vibrating hand tools on a daily basis. The possibility of hand-arm vibration syndrome must be considered in the differential diagnosis of wrist pain among orthopaedic surgeons.

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