Kovarík J, Salandová J, Kuzelová M, Ehler E
Cesk Neurol Neurochir. 1989 Sep;52(5):327-32.
The author summarizes his experience with diseases of the locomotor system of the extremities caused by long-term, excessive unilateral overload (item 29 of the Czechoslovak "List of occupational diseases") assembled during the period 1976 to 1987. In the department for occupational diseases of the District Institute of National Health Pardubice 349 subjects were examined where the disease was suspected, in 93 workers the occupational affection was notified. From a total of 2,294 notified occupational during the above period disease due to overload accounted for 4.1%. The cause of the affection was most frequently bursitis (32x), epicondylitis (25x) and carpal tunnel syndromes (24x), other affections being less frequent. The author analyzed the results with regard to sex, age, period of exposure, occupation. Special attention was devoted to glass workers who accounted for 51.6% of all affected subjects. The author discusses possible neurological affections, i. e. damage of the peripheral nerves. In the assessment of disease caused by overload the authors emphasized the importance of close cooperation of specialists for occupational diseases, neurologists, orthopaedists, physiologists and specialists in hygiene of work.
作者总结了其在1976年至1987年期间积累的有关长期、过度单侧负荷所致四肢运动系统疾病（捷克斯洛伐克“职业病清单”第29项）的经验。在帕尔杜比采地区国家卫生研究所职业病科，对349名疑似患有该病的受试者进行了检查，其中93名工人的职业病得到确诊。在上述期间总共报告的2294例职业病中，因负荷过重导致的职业病占4.1%。发病原因最常见的是滑囊炎（32例）、肱骨外上髁炎（25例）和腕管综合征（24例），其他病症则较少见。作者分析了性别、年龄、接触时间、职业等方面的结果。特别关注了玻璃工人，他们占所有患病受试者的51.6%。作者讨论了可能的神经病变，即周围神经损伤。在评估负荷过重引起的疾病时，作者强调了职业病专家、神经科医生、骨科医生、生理学家和职业卫生专家密切合作的重要性。
