Orthopedics - Oleksa A.P. 2006

Occupational musculoskeletal disorders
Crepitant tenosynovitis of the forearm

Crepitant tenosynovitis of the forearm is one of the most common Occupational Musculoskeletal Disorders. It typically occurs in individuals whose work involves frequent, repetitive, and stereotypical Movements of the hand and fingers (such as carpenters, turners, etc.). Clinically, it presents with three primary symptoms in the forearm: pain, Swelling, and crepitus during finger movement.

The condition can be unilateral, most frequently affecting the right arm. It tends to recur and may progress into a chronic form—fibroblastic tendomyositis—which can lead to a permanent decrease in work capacity.

Treatment. Functional rest is prescribed for the affected arm by applying a plaster splint for 6–7 days. Sick leave is granted for 12–15 days, followed by a recommendation for light duty for 5–10 days. Only after this period, provided the patient is feeling well, are they cleared to return to their previous duties. For Prevention purposes, the following measures are recommended: 1) mechanization of all production processes; 2) adherence to work-rest schedules, including micro-breaks during work; 3) occupational stretching and exercise routines.