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Related Experiment Videos

Vibration white finger.

J C Boyle1, N J Smith, F D Burke

  • 1Hand Unit, Derbyshire Royal Infirmary.

Journal of Hand Surgery (Edinburgh, Scotland)
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

This study found the cold provocation test unhelpful for diagnosing vibration white finger. Many patients claiming compensation for this condition also showed signs of carpal tunnel syndrome.

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Area of Science:

  • Occupational Medicine
  • Neurology
  • Radiology

Background:

  • Vibration white finger (VWB) is a condition affecting workers exposed to vibrating tools.
  • Diagnostic methods for VWB can be challenging, impacting compensation claims.
  • Associated neurological conditions may coexist with VWB.

Purpose of the Study:

  • To evaluate the diagnostic utility of the cold provocation test for VWB.
  • To assess radiographic findings in patients with VWB.
  • To determine the prevalence of carpal tunnel syndrome in VWB claimants.

Main Methods:

  • Review of 19 consecutive patients seeking compensation for VWB.
  • Assessment of the cold provocation test's diagnostic value.
  • Radiographic examination of wrists and digits.

Related Experiment Videos

  • Nerve conduction studies to diagnose carpal tunnel syndrome.

    • Main Results:

    • The cold provocation test was not valuable for diagnosing VWB.
    • Radiographs revealed small wrist cysts in 61% of patients.
    • No significant degenerative changes were observed in wrists or digits.
    • Carpal tunnel syndrome was diagnosed in 63% of claimants via nerve conduction studies.

    Conclusions:

    • The cold provocation test is unreliable for VWB diagnosis.
    • Wrist cysts are common in VWB claimants but do not indicate severe degeneration.
    • Carpal tunnel syndrome is highly prevalent in individuals claiming VWB compensation.