Análisis descriptivo de los expedientes de incapacidad permanente por epicondilitis en trabajadores de la industria alimentaria / Descriptive analysis of permanent disability files for epicondylitis in food industry workers

Introducción: Los trastornos musculoesqueléticos (TME) representan un importante problema de salud entre los trabajadores de países industrializados siendo la principal causa de incapacidad temporal (IT) y permanente (IP) en nuestro país. En la industria de la alimentación se llevan a cabo tareas que implican movimientos repetitivos, posturas forzadas y estáticas derivando en patologías de miembro superior y columna. Este tipo de labores pueden originar patologías tendinosas entre las que se encuentra la epicondilitis, desencadenada por movimientos repetitivos de extensión de la muñeca y prono-supinación del antebrazo. Objetivos: Establecer la prevalencia de expedientes de IP presentados por epicondilitis en trabajadores de la industria alimentaria. Estratificar los expedientes de IP presentados por los trabajadores de la industria alimentaria, tanto los expedientes por epicondilitis como los expedientes por el resto de TME, en función de: edad, género, Comunidades Autónomas (CCAA), código CIE-9, quién inicia el expediente, calificación, resolución, tipo de contingencia, régimen de cotización y clasificación CNO-11. Analizar las variables contingencia y la calificación respecto al resto de variables. Identificar sector susceptible de implementar mejoras en la actividad preventiva. Método: El presente estudio descriptivo transversal se llevará a cabo mediante la recogida de información a través de la base de datos Alfa (Automatización del Procedimiento de Gestión de Prestaciones) del Instituto Nacional de la Seguridad Social (INSS). Se utilizará el programa estadístico R Core Team 2021, versión 4.0.5. para el análisis descriptivo de los datos. (AU)

Introduction: Musculoskeletal disorders (MSDs) represent a major health problem among workers in industrialized countries and are the main cause of temporary and permanent work disability in our country. In the food industry, tasks that involve repetitive movements, forced and static postures are carried out, resulting in upper limb and spine pathologies. This type of work can cause tendon pathologies, among which is epicondylitis, triggered by repetitive movements of wrist extension and prono-supination of the forearm. Objectives: To establish the prevalence of Permanent Disability files filed for epicondylitis presented in food industry workers. To stratify the Permanent Disability files presented by food industry workers, both the files for epicondylitis and the files for the rest of musculoskeletal disorders, according to: age, gender, Autonomous Community, CIE-9 code, who initiates the file, qualification, resolution, type of professional contingency, contribution regime and CNO-11 classification. To analyze the professional contingency and qualification variables with respect to the rest of variables. To identify sectors susceptible to implementing improvements in preventive activity. Method: This cross-sectional descriptive study will be carried out by collecting the data through the Alfa database (Automation of the Benefit Management Procedure) of the National Social Security Institute. The statistical program R Core Team 2021, version 4.0.5. will be used for the descriptive analysis of the data. (AU)

Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis.

OBJECTIVES: To evaluate the evidence of an association between occupational and non-occupational exposure to biomechanical risk factors and lateral elbow tendinopathy, medial elbow tendinopathy, and olecranon bursitis. METHODS: We carried out a systematic review of the literature. We searched MEDLINE (up to November 2019) and checked the reference lists of relevant articles/reviews. We aimed to include studies where (a) the diagnosis was based on physical examination (symptoms plus clinical signs) and imaging data (if any); and (b) the exposure was evaluated with video analysis and/or direct measurements. A quality assessment of the included studies was performed along with an evaluation of the level of evidence of a causal relationship. RESULTS: We included four studies in the qualitative synthesis: two prospective cohorts and two cross-sectional studies. All the included studies investigated "lateral/medial epicondylitis", albeit the diagnosis was not supported by imaging techniques. Two cohort studies suggested that a combination of biomechanical risk factors for wrist/forearm is associated with increased risk of "lateral epicondylitis". This association was not observed in the two included cross-sectional studies. The cohort studies suggested that a Strain Index score higher than 5 or 6.1 could double the risk of "lateral epicondylitis". No association with increased risk of "medial epicondylitis" was observed. CONCLUSIONS: There is limited evidence of a causal relationship between occupational exposure to biomechanical risk factors and lateral elbow tendinopathy. For medial elbow tendinopathy, the evidence is insufficient to support this causal relationship. No studies on olecranon bursitis and biomechanical overload were identified.

Desordenes musculoesqueléticos en trabajadores de mantenimiento de alcantarillado en una empresa de servicios públicos de Colombia y su relación con características sociodemográficas, laborales y condiciones médicas generales, Medellín 2016 / Musculoskeletal disorders in sewer maintenance workers in an utility of Colombia and its relationship to sociodemographic characteristics, employment and general medical conditions, Medellin 2016

Introducción: trabajadores que realizan mantenimiento en alcantarillados se exponen a riesgos disergonomicos que pueden desencadenar patologías osteomusculares. Métodos: estudio descriptivo, con fuente primaria de información, previa obtención de consentimiento informado a un censo de trabajadores (43) que realizan labores de mantenimiento en una empresa de servicios públicos de Colombia. Se exploraron variables socio-demográficas, económicas, de salud y laborales. El riesgo ergonómico fue evaluado con el cuestionario RULA. Se realizaron análisis descriptivos y de asociación, con una confianza del 95% y error del 5%. Resultados: trabajadores con 43 años (±12 años), 44,2% eran oficiales de mantenimiento de aguas, con peso normal y sobre peso, prevalencia de diabetes 5,1%, artrosis y lesión de tejidos blandos 12,5%, fumadores activos un 12,8% y 37,2% con dolor en miembros superiores. El 86,0% realizaba labores que requieren cambios urgentes, 25,6% con diagnóstico de síndrome del manguito de rotadores y 7,0% manguito de rotadores y epicondilitis lateral y/o medial de codo. Aumento de desórdenes musculo esqueléticos con el aumento del tiempo de labor, haber tenido cirugía de hombro o antecedentes de accidentes en hombro y mayor edad. Conclusiones: se evidencia la necesidad de adelantar acciones preventivas y correctivas en la población de estudio, características como el tiempo en su oficio, la labor que se desempeña y la edad, se asocian con mayor riesgo de desórdenes musculoesqueléticos

Introduction: workers who perform maintenance in sewage systems are exposed to disergonomic risks that can trigger osteomuscular diseases. Methods: a descriptive study, with a primary source of information, after obtaining informed consent to a census of workers (43) who perform maintenance tasks in a public utility company in Colombia. Socio-demographic, economic, health and labor variables were explored. The ergonomic risk was evaluated with the RULA questionnaire. Descriptive and association analyzes were performed, with 95% confidence and 5% error. Results: of te workers aged 43 (± 12 years), 44.2% were water maintenance officers, with normal weight and overweight, prevalence of diabetes 5.1%, osteoarthritis and soft tissue injury 12.5%, active smokers 12.8% and 37.2% with pain in upper limbs. 86.0% performed tasks requiring urgent changes, 25.6% with a diagnosis of rotator cuff and 7.0% rotator cuff and lateral and/or medial elbow epicondylitis. The increase of musculoskeletal disorders with increased labor time, was associated to having had shoulder surgery or a history of shoulder accidents and older age. Conclusions: there is evidence of the need to carry out preventive and corrective actions in the study population, characteristics such as time in office, the work performed and age, are associated with increased risk of musculoskeletal disorders