Fry H J
Med J Aust. 1986 Feb 17;144(4):182-3, 185. doi: 10.5694/j.1326-5377.1986.tb128353.x.
A series of 379 musicians with painful overuse syndrome ("RSI") were examined and studied. The commonly used diagnosis for the condition of "tenosynovitis" or "tendinitis" could not be substantiated as it appeared to be a distinct clinical entity rather than a collection of unrelated disorders. The patients in this series showed muscular and joint capsule overuse. Those with painful hands and wrists showed persisting tenderness in the intrinsic muscles and joint ligaments, notable in the carpometacarpal joints of the thumb and the radial side of the wrist. Tenderness of more proximal muscle groups was also usually present. Pain generally started in a particular area, then spread both proximally and distally. The patients felt depressed. The treatment that evolved from the study was radical rest of the tender structures by the total avoidance of pain-inducing activities. The condition did not appear to be inflammatory in nature. The prevention of overuse lies in the control of use.
对379名患有疼痛性过度使用综合征（“重复性劳损”）的音乐家进行了检查和研究。常用的“腱鞘炎”或“肌腱炎”诊断无法得到证实，因为它似乎是一种独特的临床实体，而非一系列不相关疾病的集合。该系列患者表现出肌肉和关节囊的过度使用。手部和腕部疼痛的患者，其手部固有肌肉和关节韧带持续压痛，在拇指掌指关节和腕部桡侧尤为明显。通常近端肌肉群也有压痛。疼痛一般始于特定区域，然后向近端和远端扩散。患者感到沮丧。研究得出的治疗方法是让疼痛部位彻底休息，即完全避免诱发疼痛的活动。这种病症本质上似乎并非炎症。过度使用的预防在于控制使用。
