Work related etiology of de Quervain’s tenosynovitis: a case-control study with prospectively collected dataReportar como inadecuado




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BMC Musculoskeletal Disorders

, 16:126

Pathophysiology of musculoskeletal disorders

Abstract

BackgroundThe etiology of de Quervain-s tenosynovitis dQ has been based on conflicting small case series and cohort studies lacking methodological rigor. A prospective case-control study was conducted to analyze the most common risk factors for dQ.

MethodsBetween January 2003 and May 2011, 189 patients surgically treated for dQ vs. 198 patients with wrist ganglia WG controls were identified in our clinic’s electronic database. Sample characteristics, exertional, anatomical, and medical risk factors were compared between groups.

ResultsdQ vs. WG differed by average age 52 vs. 43 years and gender ratio 15-62 vs. 26-39. No significant difference between dQ vs. WG was found after subgrouping professional activities manual labor: 18 % vs. 26 %, respectively, p = 0.23. No asymmetric distribution of comorbidities, wrist trauma, forceful or repetitive manual work, or medication was observed.

ConclusionsNeither heavy manual labor nor trauma could be shown to be predisposing risk factors for dQ.

Keywordsde Quervain stenosing tenosynovitis de Quervain’s tenosynovitis Etiopathogenesis Occupational disease Manual labor AbbreviationsdQQuervain-s tenosynovitis

WGWrist ganglia

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Autor: Stéphane Stahl - Daniel Vida - Christoph Meisner - Adelana Santos Stahl - Hans-Eberhard Schaller - Manuel Held

Fuente: https://link.springer.com/







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