Avtor/Urednik		Jurca, Irena; Dodič-Fikfak, Metoda
Naslov		Verifikacija poklicnih bolezni zaradi preobremenitev kit, kitnih ovojnic in kitnih narastišč zgornjega uda
Prevedeni naslov		Verification of professional diseases because of overuses of tendon, tendon sheets and tendon insertions of upper extremities
Tip		članek
Vir		Sanitas et labor
Vol. in št.		Letnik 3, št. 2
Leto izdaje		2004
Obseg		str. 147-71
Jezik		slo
Abstrakt		Occupational disorders due to overuse of the upper extremities represent a serious health issue and a heavy financial burden. Since these injuries tend to develop slowly, their occupational aetiology usually remains unrecognized. Criteria for the verification of occupational upper extremity overuse disorders were established on the basis of pertinent evidence-based literature reports. For the upper extremity overuse syndromes to be verified as occupational diseases, history of occupational exposure and information about work conditions in terms of type, intensity and time of exposure, are required. Overuse disorders of tendons, tendon sheets and tendon insertions of the upper extremities have to be confrrmed by history, physical examination and functional tests. The orthopaedist verifies the diagnosis by ultrasound, X-ray or magnetic resonance imaging or by other valid and reliable diagnostic tests. The minimum duration of exposure to risk factors, which is as a rule four months, and the maximum latent period, which lasts up to five days, have to be considered.
Izvleček		Bolezni, ki nastanejo pri delu zaradi preobremenitev zgornjih udov, predstavljajo obsežen zdravstveni in finančni problem. Okvare nastajajo počasi, zato ostane poklicna etiologija bolezni pogosto neprepoznana. Na podlagi z dokazi podprtih izsledkov v literaturi smo opredelili kriterije za verifikacijo poklicnih bolezni, ki nastanejo kot posledica čezmernih obremenitev zgornjih udov. Za verifikacijo potrebujemo podatke o izpostavljenosti, ki jih dobimo z delovno anamnezo in analizo delovnih razmer, ki potrjujeta vrsto, intenziteto in čas izpostavljenosti dejavnikom tveganja, pozitivno osebno anamnezo, klinično sliko in funkcijske teste, ki potrjujejo bolezen zaradi prevelikega obremenjevanja kit, kitnih ovojnic in mišičnih oziroma kitnih narastišč zgornjega uda, izvid specialista ortopeda, ki z obvezno ultrazvočno preiskavo in po potrebi z rentgensko preiskavo, magnetno resonanco ali z drugimi veljavnimi in zanesljivimi diagnostičnimi postopki potrdi diagnozo; upošteva se najkrajše trajanje izpostavljenosti dejavnikom tveganja, ki je praviloma štiri mesece, ter maksimalna latentna doba, ki je največ pet dni.
Deskriptorji		OCCUPATIONAL DISEASES CUMULATIVE TRAUMA DISORDERS ARM TENDINITIS SHOULDER IMPINGEMENT SYNDROME TENNIS ELBOW TENOSYNOVITIS SMOKING WORKLOAD WORKPLACE AGE FACTORS SEX FACTORS