Jepsen JR. Work-related upper limb "overuse" syndromes: A review of historical descriptions and interpretations suggesting a somatic origin. Edorium J Occup Environ Med 2016;2:8–18.
The historical descriptions of chronic upper limb "overuse" pain syndromes reflect contemporary work-related conditions. Therefore, the former theories about the character and pathogenesis of these conditions are still of interest. The first case studies and case series related these conditions to abnormalities in the nervous system or muscles. The general opinion gradually changed and a dysfunction of the central nervous system, a "neurosis" was assumed, because no underlying lesion of the nervous system could be identified and many patients appeared to be mentally ill. This narrative review discusses the symptoms and findings in the physical examination reported in the first historical descriptions and interpretations at that time. There is evidence for an involvement of the peripheral nerves in the pathogenesis of these syndromes although this was not demonstrated by systematical neurological examinations at the time.
Jørgen Riis Jepsen – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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