Valentino M, Rapisarda V
Clinica di Medicina del Lavoro, Università degli Studi di Ancona, via Tronto 10/A, 60020 Torrette di Ancona, AN.
Med Lav. 2002 Mar-Apr;93(2):80-6.
Rhizarthrosis of the hand secondary to job-related static-dynamic stress is a rare occupational condition characterised by secondary osteoarthrosis.
We report 5 clinical cases of female ironers employed in small-scale laundries, who after more than 10 years on the job developed pain in the right thumb. Disease onset may have been favoured by the continuous functional stress exerted on the joint.
Clinical examination, hand X-rays and ultrasonography of the trapezio-metacarpal joint led to the diagnosis of rhizarthrosis. The electromyographic and biomechanical analysis of work tasks was conducted by simulating normal ironing activity.
Patient history and electromyographic and biomechanical data showed a close causal relationship between age, job and diagnosis.
In the case of workers over 50 years of age whose jobs have the characteristics described here, Finkelstein's test should be performed on occasion of occupational health surveillance to screen for the arising of the disease.
因工作相关的静态-动态应力导致的手部桡腕关节病是一种罕见的职业性疾病，其特征为继发性骨关节炎。
我们报告5例受雇于小型洗衣店的女性熨烫工临床病例，她们在工作10多年后出现右手拇指疼痛。持续的关节功能压力可能促使了疾病的发生。
通过临床检查、手部X线检查以及对大多角骨-第一掌指关节进行超声检查，诊断为桡腕关节病。通过模拟正常熨烫活动，对工作任务进行肌电图和生物力学分析。
患者病史以及肌电图和生物力学数据显示年龄、工作与诊断之间存在密切的因果关系。
对于50岁以上从事此处所述工作的工人，应在职业健康监测时偶尔进行芬克斯坦试验，以筛查该病的发生情况。
