de-quervains-tenosynovit-arbejdsrelateret (LH Indholdsside)

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      <HtmlField Name="PageContent"><![CDATA[<h2>Definition</h2>
<ul>
    <li>De Quervain's&nbsp;tenosynovitis er en inflammation af sene og/eller seneskede i h&aring;ndleddets f&oslash;rste kulisse, hvor senerne til musculus abductor pollicis longus og musculus extensor pollicis brevis l&oslash;ber mellem 1. metacarpalknogle og radius</li>
    <li>Dansk Selskab for Arbejds- og Milj&oslash;medicin (DASAM) har udarbejdet <a href="https://dasam.dk/wp-content/uploads/2020/01/De-Quervains-tenosynovitis.pdf">kliniske retningslinjer for De Quervains tenosynovitis</a></li>
</ul>
<h2>Forekomst</h2>
<ul>
    <li>I en population p&aring; n&aelig;sten 10.000 tilf&aelig;ldigt udvalgte erhvervsaktive personer&nbsp;var forekomsten af de Quervain's&nbsp;tenosynovitis 0,5 % blandt m&aelig;nd og 1,3 % blandt kvinder<a href=" " data-type="journal-reference" data-value="Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C, Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 2004;51: 642-651" data-value-piped="Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C|Prevalence and impact of musculoskeletal disorders of the upper limb in the general population|Arthritis Rheum|2004|51|642-651" data-url="reference-link" title="Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C, Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 2004;51: 642-651">1</a></li>
    <li><a href=" " data-type="journal-reference" data-value="Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C, Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 2004;51: 642-651" data-value-piped="Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C|Prevalence and impact of musculoskeletal disorders of the upper limb in the general population|Arthritis Rheum|2004|51|642-651" data-url="reference-link" title="Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C, Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum 2004;51: 642-651"></a>I en nyere registerbaseret unders&oslash;gelse af mere end 11.000 l&aelig;geligt konstaterede tilf&aelig;lde i det amerikanske milit&aelig;r var den &aring;rlige incidens af sygdommen 0.6/1000 blandt m&aelig;nd og 2.8/1000 blandt kvinder<a href=" " data-type="journal-reference" data-value="Wolf JM, Sturdivant RX, Owens BD, Incidence of de Quervain's tenosynovitis in a young, active population. J Hand Surg AM 2009;34: 112-5" data-value-piped="Wolf JM, Sturdivant RX, Owens BD|Incidence of de Quervain's tenosynovitis in a young, active population|J Hand Surg AM|2009|34|112-5" data-url="reference-link" title="Wolf JM, Sturdivant RX, Owens BD, Incidence of de Quervain's tenosynovitis in a young, active population. J Hand Surg AM 2009;34: 112-5">2</a></li>
    <li>Tilstanden forekommer hyppigst i alderen 35-55 &aring;r</li>
</ul>
<h2>Arbejdsbetingede risikofaktorer</h2>
<ul>
    <li>Der foreligger kun f&aring; epidemiologiske unders&oslash;gelser, der belyser arbejdsbetingede &aring;rsager til de Quervain's tenosynovitis<a href=" " data-type="journal-reference" data-value="Stahl S, Vida D, Meisner C, Lotter O, Rothenberger J, Schaller HE, Stahl AS, Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.. Plast Reconstr Surg 2013;132: 1479-91" data-value-piped="Stahl S, Vida D, Meisner C, Lotter O, Rothenberger J, Schaller HE, Stahl AS|Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.|Plast Reconstr Surg|2013|132|1479-91" data-url="reference-link" title="Stahl S, Vida D, Meisner C, Lotter O, Rothenberger J, Schaller HE, Stahl AS, Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.. Plast Reconstr Surg 2013;132: 1479-91">3</a></li>
    <li><a href=" " data-type="journal-reference" data-value="Stahl S, Vida D, Meisner C, Lotter O, Rothenberger J, Schaller HE, Stahl AS, Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.. Plast Reconstr Surg 2013;132: 1479-91" data-value-piped="Stahl S, Vida D, Meisner C, Lotter O, Rothenberger J, Schaller HE, Stahl AS|Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.|Plast Reconstr Surg|2013|132|1479-91" data-url="reference-link" title="Stahl S, Vida D, Meisner C, Lotter O, Rothenberger J, Schaller HE, Stahl AS, Systematic review and meta-analysis on the work-related cause of de Quervain tenosynovitis: a critical appraisal of its recognition as an occupational disease.. Plast Reconstr Surg 2013;132: 1479-91"></a>I lighed med &aring;rsager til tendovaginitis af de &oslash;vrige af h&aring;ndens sener mist&aelig;nkes udpr&aelig;get repetitivt arbejde, s&aelig;rligt i kombination med kraftfulde bev&aelig;gelser af h&aring;nden. Akavet stilling af h&aring;ndled betragtes som en forv&aelig;rrende faktor<a href=" " data-type="journal-reference" data-value="Sluiter JK et al, Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders. Scand J Work Environ Health 2001;27: 1-102" data-value-piped="Sluiter JK et al|Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders|Scand J Work Environ Health|2001|27|1-102" data-url="reference-link" title="Sluiter JK et al, Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders. Scand J Work Environ Health 2001;27: 1-102">4</a></li>
</ul>
<h2>Klinik og diagnostik</h2>
<ul>
    <li>Dette er beskrevet i afsnittet om <a href="~/link.aspx?_id=605D07903D8A4C069E26B3BCC5B531AB&amp;_z=z">h&aring;ndsmerter</a></li>
</ul>
<h3>&Aring;rsagssammenh&aelig;ng og anmeldelse</h3>
<ul>
    <li>Tilstanden er omfattet af Erhvervssygdomslisten og kan anerkendes ud fra samme kriterier som tendovaginitis af de &oslash;vrige sener i h&aring;ndleddet, se afsnit vedr. <a href="~/link.aspx?_id=43466483A776410DBEDE0C8646D9B3BA&amp;_z=z">tendovaginitis i h&aring;ndleddet</a> </li>
    <li>F&oslash;lgende forhold styrker mistanken om arbejdsbetinget de Quervain's tenosynovitis: Tidsm&aelig;ssig sammenh&aelig;ng mellem arbejdsbelastningen og symptomdebut samt tilstedev&aelig;relse af risikofaktorer i arbejdet som n&aelig;vnt ovenfor</li>
</ul>
<h2>Erhvervsvejledning og forebyggelse</h2>
<ul>
    <li>Tilstanden vil aftage i l&oslash;bet af uger, hvis den behandles med hvile og efter etablerede principper for behandling</li>
    <li>Risiko for recidiv er stor, hvis patienten har repetitivt og kraftkr&aelig;vende arbejde</li>
    <li>Patientens arbejdsmilj&oslash;belastninger b&oslash;r &aelig;ndres. Hvis dette ikke er muligt, b&oslash;r man overveje omplacering, hvis det er muligt</li>
    <li>Det kan v&aelig;re n&oslash;dvendigt med en konkret arbejdspladsvurdering. Kontakt til arbejdsgiver kr&aelig;ver patientens accept </li>
</ul>
<h2>Patientinformation</h2>
<h3>Du b&oslash;r informere patienten om</h3>
<ul>
    <li>Dine konklusioner om &aring;rsag og prognose samt vurdering af fremtidige arbejdsfunktioner </li>
    <li>Generel information om tilstanden </li>
    <li>
    <a href="~/link.aspx?_id=C3493E7BD9744C938CF3A9ABFB7FBD47&amp;_z=z">H&aring;ndleddet, de Quervains seneskedebet&aelig;ndelse</a> - patientinformation</li>
    <li><a rel="noopener noreferrer" href="https://dasam.dk/instrukser/" target="_blank">Instrukser arbejdsmedicin</a></li>
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