1 / 24

Disc herniation by lumbar spine occupational overstress - case study -

Disc herniation by lumbar spine occupational overstress - case study -. Eugenia NAGHI 1,2 Agripina RASCU 1,2 Claudia HANDRA 1,2 Raluca MAROIU ² Irina FOCIUC ² ¹ Chair of Occupational Medicine, UMF<Carol Davila> , Bucharest

dobry
Download Presentation

Disc herniation by lumbar spine occupational overstress - case study -

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Disc herniation by lumbar spine occupational overstress- case study - EugeniaNAGHI 1,2 Agripina RASCU 1,2 Claudia HANDRA 1,2 RalucaMAROIU² Irina FOCIUC ² ¹Chair of Occupational Medicine, UMF<Carol Davila>, Bucharest ²Occupational Medicine Clinical Department, Colentina Hospital, Bucharest

  2. D.C. – male, 37 - no medical history - foundryman - occupational exposure - 17 years

  3. Professional path • 1989 at the moment Foundryman Ironfoundry

  4. Operating process MAKING MOULD/CORE MAKING STEPS IN PRODUCTION PROCESS OF ALLOYS CASTING EJECTING SANDBLASTING POLISHING DELIVERY

  5. Jobs in the operating process • Preparation of moulds and cores (sand, bindings) - manually filling of the frames with moulding compound - compound pressing by air hammer • Alloy sand casting

  6. Casting and filling frames with liquid metal http://www.go.ise.ro

  7. Filling a hand ladle with liquid metal from a tank http://www.go.ise.ro

  8. Noxious agents • Effort • Weight handling ( 500 kg/ shift ) • Prolonged & repetitive faulty body posture • standing position • bent over position • rotating motions of upper-body • Vibrations • affect the whole body • affect hand and arm

  9. Noxious agents • Hazardous microclimate • Noise • Crystalline silica dust • Respiratory irritants (foundry gases )

  10. Admission reasons : - lumbosacral pain, radiating to the posterior side of the right leg - paravertebral muscle cramp - discomfort when leaning on heels - paresthesis in the right thumb

  11. History of disease: • Earliest occurrence of described symptoms: - October 2007 - immediately after lifting and handling weights in the workplace ► General Practitionerno result THERAPY (NSAID / myorelaxant )

  12. History of the condition: • 08.10 - 12.10.2007 – Internal medicine Right lumbar sciatica L5 Diminished symptoms during admission period !! Referral to Occupational Medicine Clinical Department – condition diagnosed as profession-related THERAPY: NSAID, painkillers, myorelaxants, anxiolytics

  13. 23.10.2007- admission to Occupational Medicine Clinical Department, Colentina Hospital, Bucharest ► Clinical exam : ● pain on lumbar spine percussion ● paravertebral muscle cramp (> right) ● limitation of the lumbar spine flexion movements ● Lassegue +45° ● discomfort when leaning on heels

  14. ► Lumbar X radiography – posterior narrowing of the L4-L5 space ► Orthopedic examination lumbar disc hernia L4-L5 ? ► Neurological examination Spine MRI

  15. ►Lumbar spine MRI– Lumbar disc herniation L4-L5 with right radicular compression; right foraminal stenosis

  16. ► Neurosurgical examination ■ LDHL4-L5 with motor deficiency of the digital extension muscles and sensitive deficiency Surgical treatment

  17. Diagnosis • Lumbar disc hernia L4-L5 with right foraminal stenosis due to occupational overstressing of the lumbar spine

  18. Recommendations • Admission to neurosurgerysurgical treatment of lumbar disc hernia • Treatment of symptoms

  19. Considerations • Young patient • Crippling disease surgical treatment • Temporary work disability undetermined period of time

  20. Considerations • Avoid physical effort, weight lifting, prolongued faulty posture • Professional conversion • Dim functional prognosis

More Related