Diagnosis and Treatment of Worker-Related Musculoskeletal Disorders of the Upper Extremity: Summary
This report is a systematic evaluation of the evidence pertaining to a broad range of issues related to the diagnosis and treatment of worker-related upper extremity disorders. ¿Worker-related¿ is defined as a disorder that affects workers, not as a disorder necessarily caused by work. Four disorders are the focus of this report: carpal tunnel syndrome, cubital tunnel syndrome, epicondylitis, and de Quervain¿s disease. This evidence report assessed the published literature describing the effect of these disorders, before and after treatment, on patients, particularly workers. They did this by examining the literature pertaining to 13 key questions.
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accurately assess functional acupuncture addressed this question assess functional limitations available evidence average total charges better outcomes carpal tunnel syndrome charges per patient cubital tunnel syndrome definitive evidence-based conclusion diagnosis-related group diclofenac difficult to reach duration of symptoms effective methods electrodiagnostic tests endoscopic release find a statistically firm evidence-based conclusions Further studies global outcome included studies addressed individual with carpal lidocaine Medicare meta-analysis methylprednisolone multiple regression neurolysis nonsurgical costs NSAIDs outcomes among patients pain patients treated patients with epicondylitis physical therapy Quervain’s disease Question 11 randomized controlled trial reach a firm reach evidence-based conclusions reach firm evidence-based reported median cost reported that patients retrieval single study socioeconomic status and/or specific clinical findings specific treatment outcomes statistical power statistically significant differences status and/or racial steroid studies are necessary study found study of suboptimal surgical and nonsurgical transverse carpal ligament treatment groups trend triamcinolone ultrasound upper extremity worker-related musculoskeletal disorders