Work related upper limb disorders

Historical perspective
Two conditions with similar features to tenosynovitis – cotton twisters wrist and telegraphists’ cramp were reported as far back as 1820.

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A description of the medical condition
Work related Upper Limb Disorders embrace a number of distinct and separate conditions which are described in this section.

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Medical causation issues
It is essential that a proper examination and diagnosis is made by a Hand Surgeon or at the very least an orthopaedic surgeon with a particular expertise in upper limb disorder matters.

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Date of knowledge
Date of knowledge

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Forseeability
This remains a crucial consideration in any claim involving work related Upper Limb Disorders.

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Regulations and breach of duty
Regulations and breach of duty

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Limitation
Limitation rarely plays a central role in related upper limb disorders. The prospects of establishing constructive knowledge is often remote due to the complexity of the pathology and the difficulty in establishing an accurate diagnosis.

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Quantum
The JSB guidelines classify Work Related Upper Limb Disorders (WRULD) in their own section in Chapter 6 – Orthopaedic Injuries.

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Apportionment and contributions
Work Related Upper Limb Disorder claims are considered to be ‘short tail’. There is effectively no latency period with symptoms, generally following a very short period of time after exposure.

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Further reading
A first class website has been set up by Brian Pearce, Ergonomist, which has received HSE funding.

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