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Toe thumb: a musculoskeletal disorder related to transesophageal echocardiography

Prabhat Tewari1, P S N Raju, P K Neema

  • 1Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India.

Annals of Cardiac Anaesthesia
|October 5, 2014
PubMed

Insights

Musculoskeletal disorders (MSD) affect healthcare providers, including those performing echocardiography. This case study highlights hand MSD in an anesthesiologist using transesophageal echocardiography (TEE), emphasizing the need for awareness and prevention.

Area of Science:

  • Medical imaging
  • Occupational health
  • Anesthesiology

Background:

  • Musculoskeletal disorders (MSD) are prevalent among healthcare professionals.
  • Transthoracic echocardiography (TTE) has been linked to MSD in providers.
  • Transesophageal echocardiography (TEE) is increasingly utilized in peri-operative care.

Observation:

  • A case of hand MSD is presented in a cardiovascular and thoracic anesthesiologist.
  • The physician performed TEE for 10% of their work time over 8 years in operating rooms and critical care.
  • The TEE procedures were performed routinely.

Findings:

  • The study describes a specific instance of hand MSD in an anesthesiologist performing TEE.
  • This highlights a potential occupational hazard associated with routine TEE use.
  • The findings underscore the connection between TEE and hand musculoskeletal issues.

Implications:

  • Increased TEE use necessitates understanding its association with MSD.
  • Awareness of TEE-related MSD is crucial for healthcare providers.
  • Implementing preventive measures for MSD in TEE-performing clinicians is important.

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