Harrington J M, Carter J T, Birrell L, Gompertz D
Institute of Occupational Health, University of Birmingham, UK.
Occup Environ Med. 1998 Apr;55(4):264-71. doi: 10.1136/oem.55.4.264.
To establish consensus case definitions for several common work related upper limb pain syndromes for use in surveillance or studies of the aetiology of these conditions.
A group of healthcare professionals from the disciplines interested in the prevention and management of upper limb disorders were recruited for a Delphi exercise. A questionnaire was used to establish case definitions from the participants, followed by a consensus conference involving the core group of 29 people. The draft conclusions were recirculated for review.
Consensus case definitions were agreed for carpal tunnel syndrome, tenosynovitis of the wrist, de Quervain's disease of the wrist, epicondylitis, shoulder capsulitis (frozen shoulder), and shoulder tendonitis. The consensus group also identified a condition defined as "non-specific diffuse forearm pain" although this is essentially a diagnosis made by exclusion. The group did not have enough experience of the thoracic outlet syndrome to make recommendations.
There was enough consensus between several health professionals from different disciplines to establish case definitions suitable for use in the studies of several work related upper limb pain syndromes. The use of these criteria should allow comparability between studies and centres and facilitate research in this field. The criteria may also be useful in surveillance programmes and as aids to case management.
为几种常见的与工作相关的上肢疼痛综合征制定共识病例定义，用于这些病症病因的监测或研究。
招募了一组对上肢疾病预防和管理感兴趣的各学科医疗保健专业人员，进行德尔菲法调查。使用问卷从参与者中确定病例定义，随后召开了由29人组成的核心小组参加的共识会议。结论草案再次分发以供审查。
就腕管综合征、手腕腱鞘炎、桡骨茎突狭窄性腱鞘炎、肱骨外上髁炎、肩周炎（冻结肩）和肩部肌腱炎达成了共识病例定义。共识小组还确定了一种定义为“非特异性弥漫性前臂疼痛”的病症，不过这本质上是一种排除性诊断。该小组对胸廓出口综合征没有足够的经验来提出建议。
来自不同学科的几位卫生专业人员之间达成了足够的共识，以建立适用于几种与工作相关的上肢疼痛综合征研究的病例定义。使用这些标准应能使不同研究和中心之间具有可比性，并促进该领域的研究。这些标准在监测计划中以及作为病例管理辅助工具也可能有用。
