Work-Related Upper Limb Disorders: A Case Report

Zlatka Borisova Stoyneva; Svetlan Dermendjiev; Tihomir Dermendjiev; Hristo Dobrev

doi:10.3889/oamjms.2015.033

Authors

Zlatka Borisova Stoyneva University Hospital St. Ivan Rilsky, Clinic of Occupational Diseases, Medical University - Sofia; University Hospital St George, Medical University - Plovdiv
Svetlan Dermendjiev University Hospital St George, Medical University - Plovdiv
Tihomir Dermendjiev University Hospital St George, Medical University - Plovdiv
Hristo Dobrev University Hospital St George, Medical University - Plovdiv

DOI:

https://doi.org/10.3889/oamjms.2015.033

Keywords:

occupational disease, work-related disease, musculoskeletal upper limb disorders, occupational risk, connective tissue disease

Abstract

In this study the complex interrelationship between physical factors, job stress, lifestyle and genetic factors on symptoms of work-related musculoskeletal disorders of the upper limbs is demonstrated by a case report and discussion of the literature. A 58 year old woman with long lasting complaints of the upper limbs with increasing intensity and duration, generalisation, combined with skin thickness, Raynaudâ€™s phenomenon, joint disorders, arterial and pulmonary hypertension, metabolic lipid dysfunctions is presented. Occupational history proves continuous duration of service at a job with occupational physical static load with numerous repetitive monotonous systematic motions of fingers and hands as a weaver of Persian rugs followed by work at an automated loom and variable labour activities. Though the complaints dated since the time she was a manual weaver, the manifestations of generalized joint degenerative changes, system sclerosis with Raynaudâ€™s phenomenon with similar upper extremities signs and symptoms discount upper limbs musculoskeletal disorder as caused only or mainly by occupational risk factors. The main principles and criteria for occupational diagnosis of musculoskeletal upper limb disorders and legislative requirements for their reglamentation are discussed.

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