title: [Hand-arm vibration syndrome in a nurse carrying out gypsum cutting operations].
abstract: BACKGROUND
  A professional nurse, employed mainly on gypsum cutting operations, developed a hand-arm vibration syndrome with Raynaud's phenomenon, neurosensitive disorders and impairment of the bone and joints apparatus of the hand and arm.
  
  
  METHODS
  The nurse underwent diagnostic investigations (cold test, X-ray of the upper limbs, blood tests); also the vibration levels transmitted from instrument were measured and the exposure times were established.
  
  
  CONCLUSIONS
  Clinical investigations showed the presence of a hand-arm vibration syndrome with secondary Raynaud's phenomenon and environmental surveys revealed very high vibration levels, such as could be associated with the disease with a causal relationship. In the literature no reports exist of the vibration syndrome being associated with health care workers in orthopaedic departments. The case described in this study occurred because of peculiar organisational factors that most likely have never occurred in other hospitals or orthopaedic departments.
authors.affiliation: Azienda Sanitaria 10 di Firenze, U.F. TAV & G.O., Firenze. martina.speziale@asf.toscana.it
authors.forename: Martina
authors.initials: M
authors.lastname: Speziale
authors.forename: E
authors.initials: E
authors.lastname: Picchiotti
mesh_terms: D001134:Arm Injuries / Q000175:diagnosis / Q000209:etiology*; D002370:Casts, Surgical; D006230:Hand Injuries / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006987:Hypesthesia / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000209:etiology*; D016530:Orthopedic Nursing / Q000295:instrumentation / Q000458:organization & administration; D010292:Paresthesia / Q000175:diagnosis / Q000209:etiology*; D011928:Raynaud Disease / Q000175:diagnosis / Q000209:etiology*; D014732:Vibration / Q000009:adverse effects*