- painful arch syndrome
This is a clinical syndrome characterised by pain in the shoulder and
upper arm during abduction of the arm, with freedom from pain at the
extremes of the range of movements. With the arm dependent the pain is
absent but during abduction of the arm pain begins at about 45 degrees
and persists through the arch of movement to about 160 degrees when it
lessens or disappears. It can be caused by a number of different
lesions to the shoulder muscles or joint capsule.
- peritendinitis
This is a typical reaction to repetitive movements of the wrist or hand
and is a type of frictional tenosynovitis. Those tendons most affected
are those of the deep muscles at the back of the forearm especially the
extensors of the thumb and the radial extensors of the wrist. The pain
appears after a period of unusual use of the hand or wrist and there is
often a mild inflammatory reaction with swelling above the tendon and
its coverings. On examination there may be localised swelling in the
line of the affected tendons and a fine crepitation is felt over the
area of inflammation.
- phelan's test
Moving the wrist off neutral causes paraesthesia (pins and needles) in
the distribution of the median nerve as in carpal tunnel syndrome.
- poore g.v dr
Physician at University College, London. Wrote about writer's cramp in 1877.
- prescribed industrial disease
This is a condition which has been prescribed by the Industrial
Injuries Advisory Council. Work related upper limb disorders may be
prescribed as industrial disease but where the Council considers it
could be caused by activities outside the workplace - and is not
necessarily related to specific occupations - the injury is not
prescribed. For example, tennis elbow' (epicondylitis of the humerus)
and 'frozen shoulder' (rotator cuff syndrome) in the Council's opinion
are not pre- scribed as they are common in the general population and
there is insufficient evidence to link them with specific occupational
groups. Similarly, carpal tunnel syndrome is not covered. Disablement
benefit may be paid only if work induced tenosynovitis has previously
been diagnosed or if carpal tunnel syndrome arises from the use of hand
held vibrating tools.
- psycho-social phenomena
An unspecific term often used where an upper limb problem is thought
not to be organic but to be related to the psychological state of the
individual.
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