Laarmann A
Arch Orthop Unfallchir. 1976 May 21;84(3):261-8. doi: 10.1007/BF00416084.
The most frequent of the so-called vocational diseases "Attrition of brachial joints after working with compressed-air-tools" and "Change of the miner's menisci" have only a loose causal connection with the occupations they are named for: By far the majority of such workers are not affected-even though they handle compressed-air-tools, or do the labor of miners all during their working life. This study explains, that the cause for these diseases is not to be sought in any external influences typical for these activities but rather in some negative tendency of patient's tissue--a definite morbidity towards tissue-regression. Patients are born with this inclination, with, therefore, is not insurable. The conditions for public accident incurance are fulfilled only if work with compressed-air-tools or labour of miners aggravates these negative tendencies. The somewhat indirect causal connection between diseases and occupations, do bring up certain problems and make it rather difficult, to judge these "tissue-regressions as vocational diseases".
所谓的职业病中，“使用压缩空气工具工作后肱关节磨损”和“矿工半月板变化”最为常见，但它们与所命名的职业仅有松散的因果关系：到目前为止，即使这些工人一生都在使用压缩空气工具或从事矿工劳动，大多数人也不会受到影响。这项研究表明，这些疾病的病因并非在于这些活动所特有的任何外部影响，而是在于患者组织的某些负面倾向——一种明确的组织退化发病倾向。患者天生就有这种倾向，因此不可投保。只有当使用压缩空气工具工作或矿工劳动加剧这些负面倾向时，才符合公共事故保险的条件。疾病与职业之间这种有点间接的因果关系确实带来了某些问题，并且使得将这些“组织退化视为职业病”相当困难。
