Regional musculoskeletal conditions: making a working diagnosis

Author(s):  
Alan J. Hakim ◽  
Gavin P.R. Clunie ◽  
Inam Haq

Introduction 20 Neck pain 22 Shoulder pain 30 Pain around the elbow 42 Wrist pain 48 Symptoms in the hand 54 Upper limb peripheral nerve lesions 66 Thoracic back and chest pain 72 Low back pain and disorders in adults 78 Spinal disorders in children and adolescents ...

1991 ◽  
Vol 16 (1) ◽  
pp. 19-24 ◽  
Author(s):  
P. BURGE ◽  
B. TODD

The clinical localisation of peripheral nerve lesions can sometimes be difficult, particularly following injury to the brachial plexus when multiple lesions are often present. In this situation, computers may be of assistance in interpreting the complicated patterns of clinical findings. This paper describes the evaluation of a computer program that uses a simulation model of the consequences of nerve injury, based on a representation of the relevant anatomy. A retrospective study of 26 patients with upper limb nerve lesions was carried out. The computer program compared favourably with three clinicians in interpreting the findings correctly. It is suggested that this approach may be transferable to other applications.


1974 ◽  
Vol 23 (1) ◽  
pp. 111-113
Author(s):  
K. Oda ◽  
S. Hattori ◽  
S. Kawai ◽  
N. Moriwaki ◽  
K. Saeki

2019 ◽  
pp. 439-467
Author(s):  
Birender Balain ◽  
John Hobson

Non-specific low back pain (LBP) is one of the commonest conditions afflicting adults of working age. It represents a leading cause of disability and a major cause of sickness absence. Neck pain and its associated disability are scarcely less common. Collectively, back and neck pain pose a major challenge to employers. Occupational health professionals should be competent when assessing workers with these conditions and be aware of evidence-based advances in the management and rehabilitation of mechanical LBP. Adoption of consensus guidelines has led to better coping and faster recovery. This chapter reviews these initiatives and the problem of assessing fitness for work in those with spinal pain. Emphasis is given to simple, non-specific spinal pain as this is the commonest presentation. Only rarely does the clinician make a more specific diagnosis, but occasionally serious pathology underlies symptoms and different responses are needed. Therefore, this chapter also considers more specific spinal problems and interventions.


1999 ◽  
Vol 61 (5) ◽  
pp. 557-560 ◽  
Author(s):  
Hidefumi Furuoka ◽  
Mituru Hasegawa ◽  
Yoshiyasu Kobayashi ◽  
Takane Matsui

1990 ◽  
Vol 110 (3) ◽  
pp. 248-257 ◽  
Author(s):  
Marion Murray ◽  
Shwun-De Wang ◽  
Michael E. Goldberger ◽  
Pat Levitt

Author(s):  
Alexander Scarborough ◽  
Robert J MacFarlane ◽  
Michail Klontzas ◽  
Rui Zhou ◽  
Mohammad Waseem

The upper limb consists of four major parts: a girdle formed by the clavicle and scapula, the arm, the forearm and the hand. Peripheral nerve lesions of the upper limb are divided into lesions of the brachial plexus or the nerves arising from it. Lesions of the nerves arising from the brachial plexus are further divided into upper (proximal) or lower (distal) lesions based on their location. Peripheral nerves in the forearm can be compressed in various locations and by a wide range of pathologies. A thorough understanding of the anatomy and clinical presentations of these compression neuropathies can lead to prompt diagnosis and management, preventing possible permanent damage. This article discusses the aetiology, anatomy, clinical presentation and surgical management of compressive neuropathies of the upper limb.


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