Abstract：
BACKGROUND: Musculoskeletal disorders (MSDs) are as the primary occupational disease (OD) in Tunisia. They can touch the elbow and cause occupational disability.
OBJECTIVE: Describe the epidemiological and clinical characteristics of elbow MSDs recognized in Tunisia, identify the factors associated with these MSDs and assess their socio-professional impact.
METHODS: Retrospective descriptive study of elbow MSDs recognized as compensable OD by the Committees for the Recognition of Occupational Diseases of National Health Insurance Fund, in Tunisia, from 2012 to 2018.
RESULTS: We collected 431 cases of elbow MSDs or 8.35% of all recognized MSDs and 11.8% of recognized MSDs during the same period. The average annual incidence was 4.3 cases. Patients had a mean age of 43.59 years and a clear female predominance (82.2%). The largest provider was the textile industry (60.6%). The average length of employment was 16.78 years. Biomechanical factors were repetitive movements (92.8%), forced movements (67.1%) and prolonged static posture (7.4%). These were lateral epicondylitis (79.1%), medial epicondylitis (14.2%) and ulnar nerve syndrome (10.7%). These pathologies were associated with other MSDs including carpal tunnel syndrome (25.8%). These MSDs were responsible for 15,342 days of lost work. The rate of permanent partial incapacity was 10.6% with a job loss in 15.63%.
CONCLUSIONS: Elbow MSDs are responsible for heavy economic and socio-professional consequences justifying the implementation of a preventive strategy adapted within risk sectors.
OBJECTIVE: Describe the epidemiological and clinical characteristics of elbow MSDs recognized in Tunisia, identify the factors associated with these MSDs and assess their socio-professional impact.
METHODS: Retrospective descriptive study of elbow MSDs recognized as compensable OD by the Committees for the Recognition of Occupational Diseases of National Health Insurance Fund, in Tunisia, from 2012 to 2018.
RESULTS: We collected 431 cases of elbow MSDs or 8.35% of all recognized MSDs and 11.8% of recognized MSDs during the same period. The average annual incidence was 4.3 cases. Patients had a mean age of 43.59 years and a clear female predominance (82.2%). The largest provider was the textile industry (60.6%). The average length of employment was 16.78 years. Biomechanical factors were repetitive movements (92.8%), forced movements (67.1%) and prolonged static posture (7.4%). These were lateral epicondylitis (79.1%), medial epicondylitis (14.2%) and ulnar nerve syndrome (10.7%). These pathologies were associated with other MSDs including carpal tunnel syndrome (25.8%). These MSDs were responsible for 15,342 days of lost work. The rate of permanent partial incapacity was 10.6% with a job loss in 15.63%.
CONCLUSIONS: Elbow MSDs are responsible for heavy economic and socio-professional consequences justifying the implementation of a preventive strategy adapted within risk sectors.
摘要：
背景：肌肉骨骼疾病（MSD）是突尼斯的主要职业病（OD）。他们可以触摸肘部并导致职业残疾。
目的：描述突尼斯公认的肘部MSD的流行病学和临床特征，确定与这些MSD相关的因素，并评估其社会专业影响。
方法：由国家健康保险基金职业病确认委员会确认为可补偿OD的肘部MSD的回顾性描述性研究，在突尼斯,从2012年到2018年。
结果：我们在同一时期收集了431例肘部MSD，占所有公认MSD的8.35％，占公认MSD的11.8％。年平均发病率为4.3例。患者的平均年龄为43.59岁，女性占主导地位（82.2％）。最大的供应商是纺织业（60.6%）。平均工作年限为16.78年。生物力学因素为重复运动（92.8%），强迫运动(67.1%)和长时间静态姿势(7.4%)。这些是外上髁炎（79.1%），内上髁炎（14.2%）和尺神经综合征（10.7%）。这些病理与其他MSD相关，包括腕管综合征（25.8％）。这些MSD造成了15342天的误工。永久性部分丧失工作能力的比率为10.6％，失业率为15.63％。
结论：弯头MSD对沉重的经济和社会职业后果负责，这证明了在风险部门内实施适应的预防策略的合理性。
目的：描述突尼斯公认的肘部MSD的流行病学和临床特征，确定与这些MSD相关的因素，并评估其社会专业影响。
方法：由国家健康保险基金职业病确认委员会确认为可补偿OD的肘部MSD的回顾性描述性研究，在突尼斯,从2012年到2018年。
结果：我们在同一时期收集了431例肘部MSD，占所有公认MSD的8.35％，占公认MSD的11.8％。年平均发病率为4.3例。患者的平均年龄为43.59岁，女性占主导地位（82.2％）。最大的供应商是纺织业（60.6%）。平均工作年限为16.78年。生物力学因素为重复运动（92.8%），强迫运动(67.1%)和长时间静态姿势(7.4%)。这些是外上髁炎（79.1%），内上髁炎（14.2%）和尺神经综合征（10.7%）。这些病理与其他MSD相关，包括腕管综合征（25.8％）。这些MSD造成了15342天的误工。永久性部分丧失工作能力的比率为10.6％，失业率为15.63％。
结论：弯头MSD对沉重的经济和社会职业后果负责，这证明了在风险部门内实施适应的预防策略的合理性。
