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Carpal tunnel syndrome among apprentice construction workers
Author(s) -
Rosecrance John C.,
Cook Thomas M.,
Anton Dan C.,
Merlino Linda A.
Publication year - 2002
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.10093
Subject(s) - medicine , carpal tunnel syndrome , apprenticeship , occupational safety and health , occupational medicine , workers' compensation , occupational exposure , medical emergency , surgery , pathology , psychology , linguistics , philosophy , compensation (psychology) , psychoanalysis
Background In terms of lost‐work time and restricted workdays, surgery, and rehabilitation, one of the most costly occupational musculoskeletal disorders is carpal tunnel syndrome (CTS). The purpose of this study was to determine the prevalence of CTS among apprentice construction workers. Methods This cross‐sectional study included apprentices from four construction trades. Apprentices completed a self‐administered questionnaire and received electrophysiologic studies assessing median nerve function across the carpal tunnel. A surveillance case definition for CTS was based on characteristic hand symptoms and the presence of median mononeuropathy across the carpal tunnel. Results Of the 1,325 eligible apprentices, 1,142 (86.2%) participated in the study. The prevalence of CTS among apprentices was 8.2%; sheet metal workers had the highest rate (9.2%). In operating engineers, the prevalence of CTS was significantly higher (OR = 6.9; 95% CI = 2.6–18.2) among the heavy equipment mechanics than the drivers of those vehicles. Body mass index, age, and self‐reports of working overhead were associated with prevalent CTS. Less than 15% of the apprentices with CTS sought medical attention for their disorder. Conclusions Many construction workers begin developing CTS before or during their apprenticeship. Few apprentices seek medical attention for hand symptoms characteristic of CTS. The results of this study indicate a public health need for the implementation of prevention strategies for CTS in the construction industry. Am. J. Ind. Med. 42:107–116, 2002. © 2002 Wiley‐Liss, Inc.