Department of Rheumatology, Brighton and Sussex Medical School, Princess Royal Hospital, Haywards Heath, West Sussex, UK.
Rheumatology (Oxford). 2012 Feb;51(2):305-10. doi: 10.1093/rheumatology/ker228. Epub 2011 Oct 22.
To explore the relationship between occupational exposures and lateral and medial epicondylitis, and the effect of epicondylitis on sickness absence in a population sample of working-aged adults.
This was a cross-sectional study of 9696 randomly selected adults aged 25-64 years involving a screening questionnaire and standardized physical examination. Age- and sex-specific prevalence rates of epicondylitis were estimated and associations with occupational risk factors explored.
Among 6038 respondents, 636 (11%) reported elbow pain in the last week. Of those surveyed, 0.7% were diagnosed with lateral epicondylitis and 0.6% with medial epicondylitis. Lateral epicondylitis was associated with manual work [odds ratio (OR) 4.0, 95% CI 1.9, 8.4]. In multivariate analyses, repetitive bending/straightening elbow >1 h day was independently associated with lateral (OR 2.5, 95% CI 1.2, 5.5) and medial epicondylitis (OR 5.1, 95% CI 1.8, 14.3). Five per cent of adults with epicondylitis took sickness absence because of their elbow symptoms in the past 12 months (median 29 days).
Repetitive exposure to bending/straightening the elbow was a significant risk factor for medial and lateral epicondylitis. Epicondylitis is associated with prolonged sickness absence in 5% of affected working-aged adults.
探讨职业暴露与外上髁炎和内上髁炎的关系，以及在工作年龄段人群样本中，网球肘对病假的影响。
这是一项针对 9696 名随机选择的 25-64 岁成年人的横断面研究，涉及筛选问卷和标准化体检。估计了特定年龄和性别的网球肘患病率，并探讨了与职业危险因素的关联。
在 6038 名应答者中，有 636 人（11%）报告在过去一周肘部疼痛。在接受调查的人中，有 0.7%被诊断为外上髁炎，0.6%被诊断为内上髁炎。外上髁炎与体力劳动有关（比值比[OR] 4.0，95%置信区间[CI] 1.9，8.4）。在多变量分析中，重复性弯曲/伸直肘部>1 小时/天与外上髁炎（OR 2.5，95%CI 1.2，5.5）和内上髁炎（OR 5.1，95%CI 1.8，14.3）独立相关。过去 12 个月内，5%的患有网球肘的成年人因肘部症状而请病假（中位数 29 天）。
重复性弯曲/伸直肘部是导致内外上髁炎的重要危险因素。在 5%受影响的工作年龄段成年人中，网球肘与延长病假有关。
