Verdon M E
Department of Family and Community Medicine, University of California, School of Medicine, San Francisco, USA.
Prim Care. 1996 Jun;23(2):305-19. doi: 10.1016/s0095-4543(05)70278-5.
Overuse syndromes are one of the most common occupational illnesses treated by primary care providers. Their pathophysiology parallels that of tenosynovitis. Occupational risk factors for overuse syndromes include repetition, high force, awkward joint posture, direct pressure, and vibration. Initial treatment is aimed at preventing fibrosis through rest, immobilization, and anti-inflammatory agents. Treatment must include identification and adjustment of occupational risk factors. Specific overuse syndromes are discussed, including tenosynovitis of the dorsal wrist extensor compartments and flexor tendons of the wrist, trigger finger, and carpal tunnel syndrome.
过度使用综合征是初级保健提供者治疗的最常见职业病之一。其病理生理学与腱鞘炎相似。过度使用综合征的职业风险因素包括重复动作、高强度用力、关节姿势笨拙、直接压力和振动。初始治疗旨在通过休息、固定和使用抗炎药来预防纤维化。治疗必须包括识别和调整职业风险因素。文中讨论了具体的过度使用综合征，包括腕背伸肌间隔和腕屈肌腱的腱鞘炎、扳机指和腕管综合征。
