Hadler N M
Arthritis Rheum. 1977 May;20(4):1019-25. doi: 10.1002/art.1780200417.
Regional musculoskeletal diseases are exceedingly common in all segments of society, and dramatically so in industry. For generations, medicine has assumed that many such entities are use-associated. A critical review of several examples of back and upper extremity disease demonstrates that the literature supporting these assumptions is almost entirely anecdotal. It is argued that if defined patterns of usage were associated with defined clinical syndromes, such knowledge would have considerable therapeutic and prophylactic potential. Industrial rheumatology is proposed as an investigative discipline for the study of such relationships. The prerequisites in terms of assumptions and methods as well as potential fallacies and pitfalls are discussed.
区域性肌肉骨骼疾病在社会各阶层中极为常见，在工业领域更是如此。几代人以来，医学一直认为许多此类疾病与使用有关。对背部和上肢疾病的几个例子进行的批判性回顾表明，支持这些假设的文献几乎完全是轶事性的。有人认为，如果特定的使用模式与特定的临床综合征相关，那么这些知识将具有相当大的治疗和预防潜力。工业风湿病学被提议作为研究此类关系的一门调查学科。文中讨论了在假设和方法方面的先决条件以及潜在的谬误和陷阱。
