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[Hand-arm vibration syndrome in foundry workers].
Orv Hetil. 2003 Oct 26; 144(43):2129-35.OH

Abstract

INTRODUCTION

The hand-arm vibration syndrome of the foundry workers using chipping hammers and grinders were analysed in Hungary last in 1950th-s years. Therefore it seemed necessary to consider the present situation of the disease.

AIM

To study of the signs of the hand-arm vibration syndrome of the foundry workers using chipping hammers and grinders.

METHOD

Retrospective analysis of the clinical findings of 154 foundry workers using chipping hammers and grinders. The examination included the vascular, neurological and musculoskeletal systems of the upper extremities in 95 patients.

RESULTS

The first symptoms referring to hand-arm vibration syndrome appeared on the average after seven years exposure. The signs of the 95 patients were as follows: vascular disorders: 75 cases (78.9%), peripheral neurologic lesion: 62 cases (65.3%), osteoarticular damage: 35 patients (36.8%). The Raynaud's phenomenon developed more commonly on the left than the right hand. The rate of the improvement of the Raynaud's phenomenon on the average 6.5 years after the cessation of the exposure on the basis of the result of the cold provocation test was 32.8%. Lesion of the peripheral nerves of the upper limbs, mostly of distal type was experienced in 41, whereas tunnel syndromes of the upper extremities in 21 cases. The most common amongst the latter (18 cases) was the thoracic outlet syndrome. Osteoporosis of the carpal bones was detected in 36 patients (37.9%), but osteoarthrosis of the joints of the upper limbs in 12 cases (12.6%). There was no aseptic necrosis of the bones. Fatigue fracture of the spinous process of the cervical VII vertebra occurred in one single case.

CONCLUSIONS

Using chipping hammers and grinders in foundry is one of the most dangerous hand-arm vibration exposure in Hungary. The most frequent signs are the vascular and neurological lesions. Due to relatively rare occurrence of osteoarticular damages X-ray examinations are not necessary during periodical medical follow up. The most effective possibility of the prevention is the diminishing of the daily exposure time.

Authors

Kákosy T
No affiliation info available
Németh L
No affiliation info available
Kiss G
No affiliation info available
Martin J
No affiliation info available
Lászlóffy M
No affiliation info available

MeSH

AdultAgedArm InjuriesBrachial PlexusCumulative Trauma DisordersHand InjuriesHumansHungaryMaleMetallurgyMiddle AgedOccupational DiseasesOsteoporosisRaynaud DiseaseSyndromeThoracic Outlet SyndromeTime FactorsVibration

Pub Type(s)

English Abstract
Journal Article

Language

hun

PubMed ID

14661445

Citation

Kákosy, Tibor, et al. "[Hand-arm Vibration Syndrome in Foundry Workers]." Orvosi Hetilap, vol. 144, no. 43, 2003, pp. 2129-35.
Kákosy T, Németh L, Kiss G, et al. [Hand-arm vibration syndrome in foundry workers]. Orv Hetil. 2003;144(43):2129-35.
Kákosy, T., Németh, L., Kiss, G., Martin, J., & Lászlóffy, M. (2003). [Hand-arm vibration syndrome in foundry workers]. Orvosi Hetilap, 144(43), 2129-35.
Kákosy T, et al. [Hand-arm Vibration Syndrome in Foundry Workers]. Orv Hetil. 2003 Oct 26;144(43):2129-35. PubMed PMID: 14661445.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Hand-arm vibration syndrome in foundry workers]. AU - Kákosy,Tibor, AU - Németh,László, AU - Kiss,Gábor, AU - Martin,János, AU - Lászlóffy,Marianna, PY - 2003/12/10/pubmed PY - 2004/2/27/medline PY - 2003/12/10/entrez SP - 2129 EP - 35 JF - Orvosi hetilap JO - Orv Hetil VL - 144 IS - 43 N2 - INTRODUCTION: The hand-arm vibration syndrome of the foundry workers using chipping hammers and grinders were analysed in Hungary last in 1950th-s years. Therefore it seemed necessary to consider the present situation of the disease. AIM: To study of the signs of the hand-arm vibration syndrome of the foundry workers using chipping hammers and grinders. METHOD: Retrospective analysis of the clinical findings of 154 foundry workers using chipping hammers and grinders. The examination included the vascular, neurological and musculoskeletal systems of the upper extremities in 95 patients. RESULTS: The first symptoms referring to hand-arm vibration syndrome appeared on the average after seven years exposure. The signs of the 95 patients were as follows: vascular disorders: 75 cases (78.9%), peripheral neurologic lesion: 62 cases (65.3%), osteoarticular damage: 35 patients (36.8%). The Raynaud's phenomenon developed more commonly on the left than the right hand. The rate of the improvement of the Raynaud's phenomenon on the average 6.5 years after the cessation of the exposure on the basis of the result of the cold provocation test was 32.8%. Lesion of the peripheral nerves of the upper limbs, mostly of distal type was experienced in 41, whereas tunnel syndromes of the upper extremities in 21 cases. The most common amongst the latter (18 cases) was the thoracic outlet syndrome. Osteoporosis of the carpal bones was detected in 36 patients (37.9%), but osteoarthrosis of the joints of the upper limbs in 12 cases (12.6%). There was no aseptic necrosis of the bones. Fatigue fracture of the spinous process of the cervical VII vertebra occurred in one single case. CONCLUSIONS: Using chipping hammers and grinders in foundry is one of the most dangerous hand-arm vibration exposure in Hungary. The most frequent signs are the vascular and neurological lesions. Due to relatively rare occurrence of osteoarticular damages X-ray examinations are not necessary during periodical medical follow up. The most effective possibility of the prevention is the diminishing of the daily exposure time. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/14661445/[Hand_arm_vibration_syndrome_in_foundry_workers]_ DB - PRIME DP - Unbound Medicine ER -