This article serves to draw attention to the risk to workers from repetitive strain and hand-arm vibration in the workplace and to the diagnostic difficulty in distinguishing carpal tunnel syndrome from the sensorineural component of hand-arm vibration syndrome.
Journal publications, textbooks on hand-arm vibration, guidelines of the International Standards Organisation, and European Economic Community directives.
Recent reports and current standards.
Carpal tunnel syndrome can be distinguished from hand-arm vibration syndrome if all factors—anatomical, associated physiological and medical conditions, work exposure history, and ulnar nerve involvement—are evaluated. In some circumstances, the conditions may be present together. A correct diagnosis is crucial because surgical intervention is not usually beneficial if hand-arm vibration exposure has been a contributing factor. The further reduction in grip strength may constitute a serious additional handicap for a worker.
Peter L. Pelmear, William Taylor. Carpal Tunnel Syndrome and Hand-Arm Vibration SyndromeA Diagnostic Enigma. Arch Neurol. 1994;51(4):416–420. doi:10.1001/archneur.1994.00540160118015