与劳动有关的上肢骨关节的某些病理变化,能否直接归因于来自手握工具的震动,尚未得到肯定。共同的看法是缺少确凿的证据。正如Taylor和Brammer所指出的那样:“要在震动引起的病变和那些在繁重的手工劳动中包括操作工具或在工作期间经久反复的上肢运动所引起的病变之间作出区别是困难的”。 在当今的报道中,已有文献对X线诊断所表明的、由震动引起的上肢骨关节病变的流行病学证据作 Certain pathological changes in labor-related upper extremity bone and joint can not be attributed directly to the shock from hand-held tools. The common view is the lack of conclusive evidence. As Taylor and Brammer point out: “It is difficult to make a distinction between a shock-induced lesion and a lesion that results from the inclusion of operating tools in heavy manual labor or repeated upper extremity movements during work.” In current reports, epidemiological evidence of upper extremity bone and joint disease caused by vibration has been reported in the literature for X-ray diagnosis