More than 300 recommendations are featured, focusing on diagnostic testing and treatments for 20 disorders of the hand, wrist and forearm. Included are guidelines for carpal tunnel syndrome, wrist sprains, mallet finger, scaphoid fractures, middle and proximal phalangeal and metacarpal fractures, distal forearm fractures, human and animal bites, and hand/finger osteoarthrosis.
The new guidelines were developed by a multi-disciplinary panel that included specialists in occupational medicine, orthopedic surgery, occupational therapy, physical medicine and rehabilitation, and neuromuscular and electrodiagnostic medicine. The guidelines follow ACOEM’s enhanced methodology, highlighted by original systematic research and evidence-weighted recommendations.
An extensive volume of literature was used to develop the evidence-based recommendations in the new chapter. Approximately 1,000 references are featured, including almost 350 randomized controlled trials or crossover trials.
Other highlights of the new chapter include:
- 60 specific recommendations for carpal tunnel syndrome, including imaging and electro-diagnostic procedures, and splinting, injection and surgical release interventions.
- Recommendations for post-operative rehabilitation and rehabilitation of patients with functional deficits, as well as discussion of ergonomic interventions for distal upper extremity musculoskeletal disorders with an occupational basis.
- An overview for each treatment option, including background notes about any evidence cited, opinions on whether the treatment is considered costly or invasive, and whether it has high/low risks or side effects.
- Algorithms for the different hand, wrist, and forearm disorders which offer quick and accurate guidance for cases with different progressions, circumstances, or outcomes.
- An appendix that covers treatment options for patients with Dupuytren’s disease.
To order an electronic version of the new chapter, or for more information aboutOccupational Medicine Practice Guidelines, please visit www.acoem.org or call 847-818-1800.