Roquelaure Yves, Petit Audrey, Fouquet Bernard, Descatha Alexis
Rev Prat. 2014 Mar;64(3):350-7.
Upper-limb musculoskeletal disorders (UL-MSDs) are painful conditions related to the overuse of periarticular soft tissues. The main UL-MSDs are rotator cuff tendinopathy, epicondylalgia, carpal tunnel syndrome and non-specific pain UL-MSDs are multifactorial disorders associated with individual and occupational (biomechanical, psychosocial and factors related to work organization) risk factors. Treatments are based on a global assessment of the clinical, social and occupational situations in order to identify cases of good prognosis and those, ess frequent, at high risk of prolonged work disability. The management of complex cases needs a close cooperation, with the agreement of the patient/worker, between the general practtioner and the occupational physician. One or more return to work visits are needed to help workers to keep their job. The prevention of UL-MSDs requires a global and integrated approach focusing on the reduction of the exposure to working constraints, early diagnosis and management and, if necessary, an intervention of stay at work. The new compensation procedures for UL-MSDs are described.
上肢肌肉骨骼疾病（UL-MSDs）是与关节周围软组织过度使用相关的疼痛病症。主要的UL-MSDs包括肩袖肌腱病、肱骨外上髁炎、腕管综合征和非特异性疼痛。UL-MSDs是与个体和职业（生物力学、心理社会以及与工作组织相关的因素）风险因素相关的多因素疾病。治疗基于对临床、社会和职业状况的全面评估，以识别预后良好的病例以及那些较少见但有长期工作残疾高风险的病例。复杂病例的管理需要全科医生和职业医生在患者/工人同意的情况下密切合作。需要进行一次或多次复工访视以帮助工人保住工作。预防UL-MSDs需要一种全面综合的方法，重点是减少对工作限制因素的暴露、早期诊断和管理，必要时进行在岗干预。文中描述了UL-MSDs的新赔偿程序。
