Knee Disorders Among Carpenters in the St. Louis Area.

Lu Yuan, Bryan Buchholz, Ann Marie Dale
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引用次数: 4

Abstract

Construction workers, especially carpenters, have a significant number of complaints about knee disorders. Thus, it is desired to identify incident cases of knee disorders and to examine the distribution of specific knee disorders. Clinically sensible algorithms were developed to investigate the medical claims data from the union health plan for carpenters in St. Louis. As a result, 4,900 incident cases of knee disorders were identified among 23,245 medical claims during 1998-2008 and the incidence rate was approximately 153 per 10,000 FTEs (Full-time equivalents). The distribution of knee disorders was 33.1% for acute, 37.1% for subacute, and 29.8% for chronic of the total cases. The majority of carpenters among the total incident cases were Outside Journeymen, who had a much higher percentage of osteoarthritis (32.6% of their total cases). However, it was also noteworthy that Floor Layer Journeymen were diagnosed with more bursitis (32.1%) and Outside Apprentices had a higher percentage of ACL (Anterior cruciate ligament) or PCL (Posterior cruciate ligament) sprain (13.6%) and fracture (10.9%). These results describe the characteristics of knee disorders among union carpenters and provide fundamental health outcome information for further study of knee disorders and occupational risk factors.

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圣路易斯地区木匠的膝关节疾病。
建筑工人,尤其是木匠,对膝盖疾病有大量的抱怨。因此,需要确定膝关节疾病的事件病例,并检查特定膝关节疾病的分布。开发了临床敏感算法来调查圣路易斯木匠工会健康计划的医疗索赔数据。因此,在1998-2008年期间,在23 245份医疗索赔中确定了4 900例膝关节疾病事件,发病率约为每10 000名全职工作人员中有153人。膝关节疾患的分布为急性33.1%,亚急性37.1%,慢性29.8%。在所有事件病例中,大多数木匠是外来工,他们患骨关节炎的比例要高得多(占总病例的32.6%)。然而,同样值得注意的是,Floor Layer Journeymen被诊断出更多的滑囊炎(32.1%),而Outside学徒有更高比例的ACL(前交叉韧带)或PCL(后交叉韧带)扭伤(13.6%)和骨折(10.9%)。这些结果描述了关节木匠膝关节疾病的特征,并为进一步研究膝关节疾病和职业危险因素提供了基本的健康结果信息。
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