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Hand-arm vibration syndrome: What family physicians should know.

Abstract To provide family physicians with an understanding of the epidemiology, pathogenesis, symptoms, diagnosis, and management of hand-arm vibration syndrome (HAVS), an important and common occupational disease in Canada.
PMID
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Authors

Mayor MeshTerms

Family Practice

Keywords
Journal Title canadian family physician medecin de famille canadien
Publication Year Start




PMID- 28292796
OWN - NLM
STAT- MEDLINE
DA  - 20170315
DCOM- 20170330
LR  - 20170403
IS  - 1715-5258 (Electronic)
IS  - 0008-350X (Linking)
VI  - 63
IP  - 3
DP  - 2017 Mar
TI  - Hand-arm vibration syndrome: What family physicians should know.
PG  - 206-210
AB  - OBJECTIVE: To provide family physicians with an understanding of the
      epidemiology, pathogenesis, symptoms, diagnosis, and management of hand-arm
      vibration syndrome (HAVS), an important and common occupational disease in
      Canada. SOURCES OF INFORMATION: A MEDLINE search was conducted for research and
      review articles on HAVS. A Google search was conducted to obtain gray literature 
      relevant to the Canadian context. Additional references were obtained from the
      articles identified. MAIN MESSAGE: Hand-arm vibration syndrome is a prevalent
      occupational disease affecting workers in multiple industries in which vibrating 
      tools are used. However, it is underdiagnosed in Canada. It has 3
      components-vascular, in the form of secondary Raynaud phenomenon; sensorineural; 
      and musculoskeletal. Hand-arm vibration syndrome in its more advanced stages
      contributes to substantial disability and poor quality of life. Its diagnosis
      requires careful history taking, in particular occupational history, physical
      examination, laboratory tests to rule out alternative diagnoses, and referral to 
      an occupational medicine specialist for additional investigations. Management
      involves reduction of vibration exposure, avoidance of cold conditions, smoking
      cessation, and medication. CONCLUSION: To ensure timely diagnosis of HAVS and
      improve prognosis and quality of life, family physicians should be aware of this 
      common occupational disease and be able to elicit the relevant occupational
      history, refer patients to occupational medicine clinics, and appropriately
      initiate compensation claims.
CI  - Copyright(c) the College of Family Physicians of Canada.
FAU - Shen, Shixin Cindy
AU  - Shen SC
AD  - Resident in the Department of Family and Community Medicine at St Michael's
      Hospital and in the Public Health and Preventive Medicine Residency Program at
      the University of Toronto in Ontario. [email protected]
FAU - House, Ronald A
AU  - House RA
AD  - Occupational medicine specialist in the Department of Occupational and
      Environmental Health at St Michael's Hospital and Associate Professor Emeritus in
      the Department of Occupational and Environmental Health at the University of
      Toronto.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - Canada
TA  - Can Fam Physician
JT  - Canadian family physician Medecin de famille canadien
JID - 0120300
SB  - IM
MH  - Adult
MH  - Canada/epidemiology
MH  - *Family Practice
MH  - Hand-Arm Vibration Syndrome/*diagnosis/epidemiology/etiology/*therapy
MH  - Humans
MH  - Male
MH  - Occupational Diseases/*diagnosis/epidemiology/etiology/*therapy
MH  - Prognosis
MH  - Raynaud Disease/etiology
PMC - PMC5349719
EDAT- 2017/03/16 06:00
MHDA- 2017/03/31 06:00
CRDT- 2017/03/16 06:00
AID - 63/3/206 [pii]
PST - ppublish
SO  - Can Fam Physician. 2017 Mar;63(3):206-210.

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