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Journal of Hand Surgery (British and European Volume)
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Articles

Hand Problems in 100 Vibration-Exposed Symptomatic Male Workers

T. Strömberg
L. B. Dahlin
G. Lundborg

From the Department of Hand Surgery, Malmö University Hospital and the Department of Orthopaedic Surgery, Kristianstad Central Hospital, Sweden

Correspondence: G. Lundborg, Department of Hand Surgery, Malmö University Hospital, S-205 02 Malmö, Sweden.

Long-term use of hand-held vibrating tools may induce various types of hand problems. One hundred symptomatic men exposed to vibration from such tools were interviewed and examined with special reference to neurosensory and vasospastic problems. Three distinct symptomatic groups were identified: isolated neurosensory symptoms (48%), isolated vasospastic problems (20%), and combined neurosensory and vasospastic problems (32%). Abnormal cold intolerance (pain and coldness without blanching of the fingers on exposure to cold) occurred in 27% of the patients. Neurosensory problems were more predominant than vasospastic ones, especially during the first 20 years of vibration exposure. Of 80 patients with neurosensory symptoms, only 22 had signs of a carpal tunnel syndrome (CTS). It is concluded that vibration-induced neurosensory and vasospastic symptoms can occur separately or together, and that the neurosensory symptoms are often not due to a CTS.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 3, 315-319 (1996)
DOI: 10.1016/S0266-7681(05)80192-5
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