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[Anatomo-functional aspects and diagnostic algorithm (of the upper limb pathologies secondary to repeated trauma)]
1Fondazione S. Maugeri, IRCCS, Servizio di Fisiatria Occupazionale ed Ergonomia, Istituto Scientifico di Montescano.
Abstract:
The epidemiology of work-related musculo-skeletal pathologies of the upper limbs has become significantly relevant in the last years, and a sharp increasing trend can be observed. This paper mainly focuses on the chronic inflammatory and degenerative conditions, which are more complex and difficult to accurately diagnose and treat. A synthesis of the diagnostic picture of the different types, involving the joints, muscles and tendons, and peripheral nerves is provided, with mention of the sensitivity and specificity of the main diagnostic tests. The possible entrapments of the radial, median and ulnar nerves are described in detail. Finally, a brief critical review on the principal movements of the upper limbs which are responsible of the onset of such conditions is presented.