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Rehabilitation Practice and Science

Translated Title

累積性創傷疾病相關之後骨間神經病變：病例報告

Abstract

Work related cumulative posterior interosseous neuropathy is a rare cumulative trauma disorder. To the best of our knowledge, a locksmith with this kind of disorder has never been reported. The locksmith was a 57-year-old man, and he had to perform repeated supination and pronation movements when working. He complained of weakness of right third and fourth finger extension when typing on a computer keyboard. Radial deviation was also noted when his wrist was extended. Electromyography was performed and right posterior interosseous neuropathy was suspected. Magnetic resonance imaging (MRI) showed perineural muscle edema, obliteration and fluid accumulation at the level of the arcade of Frohse. No space-occupying lesions were noted. Based on the information from his past history, physical examination, electromyography and MRI, work related cumulative posterior interosseous neuropathy was diagnosed. The symptoms improved after the patient modified his work style, adopted suitable tools and received rehabilitation treatment. He was also satisfied with the performance of his daily activities.Posterior interosseous neuropathy is usually caused by an entrapment under the tendinous arcade of Frohse. Repetitiveness of the supination-pronation movements is a precipitating factor of entrapment and may result in cumulative trauma neuropathy. In this casereport, we also elaborated the concept of work related cumulative trauma disorder. In addition to symptomatic treatment, a good understanding of the pathophysiology and biomechanics of the core problem in order to modify working habits and improve the workplace should be emphasized. Taking these factors into consideration, patients' problems can ultimately be solved.

Language

Traditional Chinese

First Page

188

Last Page

194

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