[Diagnostic guidlines for occupational epicondylitis].
Making final decisions on the occupational etiology of musculoskeletal diseases is often difficult and problematic at every stage of the diagnostic procedure. Taking into account the need to facilitate decision-making about the causal relationship between the diagnosed disease entity and the working conditions guidelines for the recognition of work-related musculoskeletal diseases have been developed. This paper presents the guidelines for the diagnosis of occupational etiology of humeral epicondylitis, one of the most common occupational disease of the musculoskeletal system in Poland. The developed guidelines have been based on the literature data concerning occupational risk factors of humeral epicondylitis, workload classification, including repetitive movements, awkward postures, and force. Some criteria applied in ergonomic evaluation methods were also included. The presented diagnostic guidelines define approximate benchmarks for stating (after excluding non-occupational etiology) that the identified humeral epicondylitis, is related to the way of working. Crucial work factors that should be analyzed include an operating time of movements overloading tendons connecting to the epicondyle, repetition and force used to perform occupational activities. The developed guidelines are aimed to facilitate occupational physicians diagnostic and certification procedures in case of humeral epicondylitis and determination whether there is a likelihood of its occupational etiology.
Wojewódzki Ośrodek Medycyny Pracy Centrum Profilaktyczno-Lecznicze / Regional Center of Occupational Medicine Prophylactic and Therapeutic Center in Lodz, Łódź, Poland (Dział Organizacji, Nadzoru i Szkolenia / Organization, Supervision and Training Department). p.krawczyk@wompcpl.eu.
Patrycja
P
Krawczyk-Szulc
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Klinika Chorób Zawodowych i Toksykologii, Przychodnia Chorób Zawodowych / Department of Occupational Diseases and Toxicology, Out-patient Clinic of Occupational Disease).
Ewa
E
Wągrowska-Koski
Uniwersytet Medyczny w Łodzi / Medical University of Lodz, Łódź, Poland (II Katedra i Klinika Rehabilitacji Medycznej / Medical Rehabilitation Clinic).
Anna
A
Puzder
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Klinika Chorób Zawodowych i Toksykologii, Oddział Chorób Zawodowych / Department of Occupational Diseases and Toxicology, Division of Occupational Diseases).
Przemysław
P
Markowski
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Klinika Chorób Zawodowych i Toksykologii, Oddział Chorób Zawodowych / Department of Occupational Diseases and Toxicology, Division of Occupational Diseases).
Jolanta
J
Walusiak-Skorupa
D017408:Guidelines as Topic; D006801:Humans; D009784:Occupational Diseases / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D016273:Occupational Exposure / Q000009:adverse effects*; D016272:Occupational Health / Q000706:statistics & numerical data*; D010147:Pain Measurement; D011044:Poland; D011187:Posture; D012307:Risk Factors; D013716:Tennis Elbow / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control
certification guidelines; diagnosis; epicondylitis; musculoskeletal system; occupational diseases; occupational etiology