Descatha A, Leclerc A, Chastang J F, Roquelaure Y
Hôpital National de Saint-Maurice, France.
J Occup Environ Med. 2003 Sep;45(9):993-1001. doi: 10.1097/01.jom.0000085888.37273.d9.
Because medial epicondylitis has not been studied alone, we investigated its links between personal and occupational factors in repetitive work and its course. A total of 1757 workers were examined by an occupational health physician in 1993-1994. Five hundred ninety-eight of them were reexamined 3 years later. Prevalence was between 4% and 5%, with an annual incidence estimate at 1.5%. Forceful work was a risk factor (odds ratio [OR], 1.95; confidence interval [CI] = 1.15-3.32), but not exposure to repetitive work (OR, 1.11; CI = 0.59-2.10). Workers with medial epicondylitis had a significantly higher prevalence of other work-related upper-limb musculoskeletal disorders (WRMD). Risk factors differed for medial and lateral epicondylitis. The prognosis for medial epicondylitis in this population was good with a 3-year recovery rate at 81%. Medial epicondylitis was clearly associated with forceful work and other upper-limb WRMD, and its prognosis was good.
由于单独对内侧上髁炎的研究较少，我们调查了重复性工作中个人因素和职业因素与内侧上髁炎及其病程之间的联系。1993年至1994年期间，一位职业健康医生对1757名工人进行了检查。其中598人在3年后接受了复查。患病率在4%至5%之间，年发病率估计为1.5%。高强度工作是一个风险因素（优势比[OR]为1.95；置信区间[CI]=1.15-3.32），但接触重复性工作不是风险因素（OR为1.11；CI=0.59-2.10）。患有内侧上髁炎的工人患其他与工作相关的上肢肌肉骨骼疾病（WRMD）的患病率显著更高。内侧和外侧上髁炎的风险因素有所不同。该人群中内侧上髁炎的预后良好，3年恢复率为81%。内侧上髁炎与高强度工作和其他上肢WRMD明显相关，且预后良好。
