Vimercati Luigi, Lorusso Antonio, L'abbate Nicola, Assennato Giorgio
University of Bari, Department of Internal Medicine and Public Medicine, Piazza Giulio Cesare 11, 70124, Bari, Italy.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1293. Epub 2009 Jun 3.
A case of bilateral carpal tunnel syndrome and ulnar neuropathy at the elbow in a 22-year-old pizza chef is described. An on-site analysis revealed that job tasks performed by the worker exposed him to a combination of biomechanical risk factors. Patient history and workplace observations suggest that occupational physical exposure may have caused the bilateral entrapment neuropathies. The present report underlines the advisability of a detailed occupational history in the case of entrapment neuropathies of the upper limbs commonly regarded as being related to biomechanical occupational exposure.
本文描述了一名22岁披萨厨师双侧腕管综合征和肘部尺神经病变的病例。现场分析显示,该工人执行的工作任务使其暴露于多种生物力学风险因素的组合中。患者病史和工作场所观察表明,职业性身体暴露可能导致了双侧卡压性神经病变。本报告强调,对于通常被认为与生物力学职业暴露相关的上肢卡压性神经病变病例,详细了解职业病史是明智的。