A Medicolegal Analysis of Worker Appeals for Fibromyalgia as a Compensable Condition Following Workplace Soft-tissue Injury

2013 ◽  
Vol 40 (3) ◽  
pp. 323-328 ◽  
Author(s):  
MARY-ANN FITZCHARLES ◽  
PETER A. STE-MARIE ◽  
YORAM SHIR
Keyword(s):  
Health Status ◽  
Soft Tissue ◽  
Tissue Injury ◽  
Traumatic Event ◽  
Soft Tissue Injury ◽  
Tissue Type ◽  
Work Related ◽  
Physical Findings ◽  
Time From Injury ◽  
New Onset

Objective.Workplace injuries may be implicated in the causation of fibromyalgia (FM), hence linking FM to compensation. We examined the appeals by workers directed to an appeals tribunal for causation of FM following soft-tissue injury sustained in the workplace.Methods.One hundred fifty tribunal decisions relevant to FM were examined using a predetermined protocol. New-onset FM was appealed in 123, and aggravation of preexisting FM in 15.Results.All injuries were of a soft-tissue type, without persistent physical findings to explain continued symptoms. The tribunal accepted 67% of appeals for aggravation of FM, and 59% for new-onset FM. Time from injury to FM diagnosis was 4.3 ± 4.1 years, with 6.3 ± 2.8 physicians cited for each worker, and with previous health status not reported for 26%. Injuries were a single event in 68%, with location in low back for 44%, and shoulder/upper limb in 40%. The FM diagnosis was based on a rheumatologist report in 74%.Conclusion.Over half of appeals for aggravation or causation of FM following a work-related soft-tissue injury were accepted by the tribunal, with importance ascribed to a rheumatologist diagnosis. Concerns are raised regarding lengthy duration from injury to diagnosis, claimants’ high healthcare use, and neglect of mention of previous health status. The attribution of causation of FM to a soft-tissue workplace traumatic event is contentious and requires further examination.

Perioperative Positioning Injuries

2010 ◽  
pp. 39-48
Author(s):  
Mark A. Warner
Keyword(s):  
Health Status ◽  
Soft Tissue ◽  
Airway Management ◽  
Range Of Motion ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Body Habitus ◽  
Joint Range Of Motion ◽  
Duration Of Surgery ◽  
Joint Range

Positioning-related injuries such as central and peripheral neuropathies, compartment syndromes, and soft-tissue injury can be reduced by considering preoperative and intraoperative factors. Preoperative considerations include normal joint range of motion, body habitus, and health status. Intraoperative considerations include compression by table attachments, duration of surgery, airway management, and use of pads and supports.

Auto seat restraint soft-tissue injury

1987 ◽  
Vol 148 (2) ◽  
pp. 458-458 ◽  
Author(s):  
DR Pennes ◽  
WA Phillips
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury

Soft tissue injury associated with intravenous phenytoin in a neonate

1994 ◽  
Vol 83 (11) ◽  
pp. 1218-1219 ◽  
Author(s):  
N. Sharief ◽  
C. Goonasekera
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury

Establishment of soft-tissue-injury model of high-voltage electrical burn and observation of its pathological changes

Burns ◽  
2009 ◽  
Vol 35 (8) ◽  
pp. 1158-1164 ◽  
Author(s):  
Chai Jia-ke ◽  
Li Li-gen ◽  
Gao Quan-wen ◽  
Shen Xiao-peng ◽  
Zhang Hai-jun ◽  
...  
Keyword(s):  
Soft Tissue ◽  
High Voltage ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Pathological Changes ◽  
Injury Model

The Hazards of Skateboard-Riding

PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 793-793
Author(s):  
◽  
Fernando Atienza ◽  
Calvin Sia
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Bone Fractures ◽  
Tissue Injury ◽  
Skull Fracture ◽  
Soft Tissue Injury ◽  
Soft Tissue Injuries ◽  
Major Surgery ◽  
Cerebral Concussion ◽  
Tissue Injuries

Skateboard-riding has become increasingly popular among Hawaii's children. The thrill of the ride and the challenge of keeping one's balance and working intricate maneuvers while speeding down a hill captures the fancy of many of our young. This sport, however, has produced an alarmingly high toll of injury and illness. Pediatricians and emergency departments of our major hospitals have seen and taken care of large numbers of patients (aged between 3 years and 35 years, but with a distribution overwhelmingly pediatric) with significant injuries which include cerebral concussion, fractures, soft tissue injuries of varying degrees of severity and complications, and injury to internal organs. During a three-month period at the Kauikeolani Children's Hospital, July to August 1975, there were 16 patients admitted with the following: seven cerebral concussions, one skull fracture, five assorted bone fractures, one soft tissue injury and infection, one retroperitoneal hemorrhage, and one instance of major surgery for removal of the spleen. During the months of August and September 1975 the Emergency Department of Straub Clinic reported the following skateboard injuries: 14 fractures, 14 soft tissue injuries, 5 lacerations, and 2 cerebral concussions. Of the 35 patients seen, three were admitted—one with an open fracture, one with cerebral concussion, and one with a skull fracture. During a four-week period (two weeks in June and July and two weeks in August and September) at the Emergency Department of Kaiser Medical Center, 66 cases of skateboard injuries were seen with six patients requiring admission for fractures and brain concussion.

Mechanisms of Soft Tissue Injury

2021 ◽  
Author(s):  
Oneida A. Arosarena ◽  
Issam N. Eid
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Visual Fields ◽  
Soft Tissue Injury ◽  
Soft Tissue Injuries ◽  
Wound Management ◽  
Facial Soft Tissue ◽  
Tissue Injuries ◽  
Free Closure ◽  
High Level

AbstractSoft tissue trauma to the face is challenging to manage due to functional and aesthetic concerns. Management requires careful regional considerations to maintain function such as visual fields and oral competence in periorbital and perioral injuries, respectively. Basic wound management principles apply to facial soft tissue injuries including copious irrigation and tension-free closure. There is no consensus and high-level evidence for antibiotic prophylaxis especially in various bite injuries. Ballistic injuries and other mechanisms are briefly reviewed. Scar revision for soft tissue injuries can require multiple procedures and interventions. Surgery as well as office procedures such as resurfacing with lasers can be employed and will be reviewed.

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