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Painful conditions of the hand and upper extremity now rank near low back pain as occupational disorders. They cause many days off from work and large disability payments. The cost alone demands that more attention be devoted to these problems. The editor of this work has amalgamated the writings of multiple authors into a most readable volume on an important but complex topic, the management of hand and upper extremity problems as related to occupation. Appropriately, topics include motivation, compensation, job analysis, and legal, psychological, ergonomic, and social aspects. Multiple discussions focus on how these important factors are related to selection of treatment and how they impact on cost and return to work. The writers emphasize the necessity of teamwork in the management of a variety of diseases, disorders, and injuries. The well-written text contains excellently reproduced photographs and diagrams. Sections on the complexity of chronic pain problems like causalgia, reflex sympathetic dystrophy, and factitious disorders include what we do and do not know about their etiology, prevalance, and management. The reader will find useful information on the management of specific occupational injuries, including first aid, anesthesia, preoperative and postoperative care, and rehabilitation. Excellent summaries on disability and impairment rating, workers' compensation law, legal problems, and cumulative trauma should prove extremely useful to those engaged in the management of patients with protracted disorders and those somewhat hopelessly entangled in the legal, social, insurance, political, and health care systems. The editor has performed a valuable service by collecting these disparate but related topics into a single book providing a comprehensive overview. I recommend this work highly. Readers should find it well worth their time.
JAMA – American Medical Association
Published: Mar 11, 1998
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