McFarlane R M
Victoria Hospital, London, Ont., Canada.
J Hand Surg Am. 1991 Sep;16(5):775-9. doi: 10.1016/s0363-5023(10)80134-0.
The present status of adjudication for workers claiming compensation for Dupuytren's disease is inconsistent and, therefore, unfair to both workers and employers. In some Eastern European countries Dupuytren's disease is classified as an industrial disease, whereas in other countries it is considered to have no relation to manual work or hand injury. In jurisdictions that sometimes award compensation, the reasons for acceptance or rejection of a claim vary from case to case and are not necessarily based on our present knowledge of the disease. The purpose of this communication is to highlight the features of Dupuytren's disease that are pertinent to manual work and hand injury and to suggest guidelines that would provide some consistency in the adjudication process. It is hoped that these guidelines would be valuable to the individual surgeon, insurance agencies, and compensation boards.
对于因掌腱膜挛缩症而申请赔偿的工人，目前的裁决状况并不一致，因此，这对工人和雇主双方来说都是不公平的。在一些东欧国家，掌腱膜挛缩症被归类为职业病，而在其他国家，它被认为与体力劳动或手部损伤无关。在有时会给予赔偿的司法管辖区，接受或拒绝索赔的理由因案而异，并不一定基于我们目前对该疾病的了解。本通讯的目的是强调掌腱膜挛缩症与体力劳动和手部损伤相关的特征，并提出一些指导方针，以便在裁决过程中提供一定的一致性。希望这些指导方针能对个体外科医生、保险机构和赔偿委员会有所帮助。
