Al Badri Faisal
Occupational Medicine, Armed Forces Medical Services, Muscat, OMN.
Cureus. 2023 Jan 6;15(1):e33458. doi: 10.7759/cureus.33458. eCollection 2023 Jan.
A female presented with right wrist pain for nine months. The diagnosis was De Quervain's tenosynovitis; her condition was initially managed conservatively, but later she needed surgery due to the lack of improvement. No workplace intervention had been implemented because her hand surgeons did not consider her occupational exposures. It was later discovered that there was significant exposure to ergonomic hazards at her workplace. She received accommodations in her workplace that led to reduction of exposure to ergonomic hazards and the subsequent dramatic improvement in her condition. This case report indicates that some orthopedists do not appreciate the role of occupational exposure to ergonomic hazards in the pathogenesis of similar conditions. Occupational medicine specialists and orthopedists should, therefore, communicate with each other to reach a consensus regarding the association between occupational exposures to ergonomic hazards and work-related upper limb disorders (WRULDs).
一名女性出现右手腕疼痛九个月。诊断为桡骨茎突狭窄性腱鞘炎；她的病情最初采用保守治疗，但后来由于没有改善而需要手术。由于她的手外科医生没有考虑到她的职业暴露因素，所以没有采取工作场所干预措施。后来发现她的工作场所存在重大的人体工程学危害暴露。她在工作场所得到了相应的调整，这使得人体工程学危害暴露减少，随后她的病情得到了显著改善。本病例报告表明，一些骨科医生没有认识到职业暴露于人体工程学危害在类似病症发病机制中的作用。因此，职业医学专家和骨科医生应该相互沟通，就职业暴露于人体工程学危害与工作相关上肢疾病（WRULDs）之间的关联达成共识。
