md-medicaldata

Authors

 

Tijana Vuković^1,2, Milorad Španović^1,2, Jelena Zvekić-Svorcan^2,3, Rastislava Krasnik^2,4, Mirjana Kolundžić⁵, Nada Marić<sup>6,7

1</sup>Zavod za zdravstvenu zaštitu radnika Novi Sad, Novi Sad, Republika Srbija
²Medicinski fakultet, Univerzitet u Novom Sadu, Novi Sad, Republika Srbija
³Specijalna bolnica za reumatske bolesti Novi Sad, Republika Srbija
⁴Institut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad, Republika Srbija
⁵Dom zdravlja „Novi Sad“, Novi Sad, Republika Srbija
⁶Zavod za medicinu rada i sporta Republike Srpske, Centar za meicinu rada i sporta Bijeljina, Bijeljina, Republika Srpska, Republika Bosna i Hercegovina
⁷Medicinski fakultet Univerziteta u Banjaluci, Republika Srpska, Republika Bosna i Hercegovina

 

UDK: 616.833-009.7-057
617.576-057

The paper was received / Rad primljen: 01.10.2024.

Accepted / Rad prihvaćen: 15.11.2024.

 

Correspondence to:

Dr Tijana Vuković
Zavod za zdravstvenu zaštitu radnika
Novi Sad Futoška 121,
Republika Srbija
e-mail: tijanadrvukovic@yahoo.com

 

 

Abstract

 

 

Introduction: Carpal tunnel syndrome results from compression of the n. medianus on palmar hand side, passing through the channel (Canalis carpi). It is one of the most common compressive neuropathy and appears approximately at 3% adult population. Typical manifestations of the disease are hypoesthesia forefinger and middle finger, which later can turn into anesthesia and trophic changes on the fingertips. Case report: A case of female worker aged 53 years, worked for 10 years at the present workplace, referred to preventive health surveillance. There were thenar hypotrophy and distension of both areas innervated by n. medianus. Squeezes of both hands were weaken. EMNG showed a strong compressive neuropathy of the n. medianus in the area of both wrists. Plastic surgeon recommended conservative treatment. The disease is recognized as an occupational disease. The patient was transferred to another job. Conclusion: The work ability of the patient is reduced due to carpal tunnel syndrome. Prevention of disease includes adequate organization of labor movement and optimum rhythm, making micro pause during operations and avoidance of overtime.

 

Key words:

carpal tunnel syndrome, occupational disease, food industry, work ability

 

 

 

Sažetak

 

Uvod: Sindrom karpalnog kanala je skup znakova i simptoma koji se javljaju kao posledica kompresivne lezije nervusa medianus-a u karpalnom kanalu. To je jedna od najčešćih kompresivnih neuropatija i javlja se približno u 3% odrasle populacije. Tipična manifestacija bolesti je disestezija kažiprsta i srednjeg prsta koja u uznapredovalim slučajevima može preći u anesteziju, a mogu se javiti i trofične promene. Prikaz slučaja: Prikazan je slučaj radnice stare 53 godine, koja radi 10 godina na radnom mestu: radnik na pakovanju i čišćenju i koja je upućena na preventivni lekarski pregled. Objektivnim pregledom nađena je hipotrofija oba tenara. Stisak obe šake je oslabljen. Nalaz EMNG-a ukazuje na jaku kompresivnu neuropatiju n. medianusa u predelu ručnog zgloba obostrano. Plastični hirurg preporučuje konzervativno lečenje. Oboljenje je priznato kao profesionalno. Pacijentknja je premeštena na drugo radno mesto. Zaključak: Radna sposobnost pacijenata sa sindromom karpalnog kanala je smanjena. Prevencija oboljenja sastoji se u adekvatnoj organizaciji radnih pokreta i optimalnog ritma rada, u pravljenju mikropauza u toku rada i izbegavanju prekovremenog rada.

 

Ključne reči:

sindrom karpalnog kanala, profesionalno oboljenje, prehrambena industrija, radna sposobnost.

 

 

 

 

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