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Cited by 18Peripheral Nerve DisordersErgonomics and Musculoskeletal DisordersEffects of Vibration on Health

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Work-related risk factors for ulnar nerve entrapment in the Northern Finland Birth Cohort of 1966

Open access
Miettinen, Laura, Ryhänen, Jorma, Shiri, Rahman, Karppinen, Jaro, Miettunen, Jouko, Auvinen, Juha, Hulkkonen, Sina·2021·Scientific Reports
DOI 10.1038/s41598-021-89577-7PMC PMC8113547
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Abstract

Ulnar nerve entrapment (UNE) is the second most common entrapment neuropathy in the upper extremity. The aetiology of UNE is multifactorial and is still not fully understood. The aim of the study was to identify occupational risk factors for UNE and to determine whether smoking modifies the effects of work-related factors on UNE. The study population consisted of the Northern Finland Birth Cohort of 1966 (NFBC1966). In total, 6325 individuals active in working life participated at baseline in 1997. Occupational risk factors were evaluated by a questionnaire at baseline. The data on hospitalizations due to UNE were obtained from the Care Register for Health Care between 1997 and 2018. The incidence rate of hospitalization due to UNE was 47.6 cases per 100,000 person-years. After adjusting for confounders, entrepreneurs (Hazard ratio (HR) = 3.68, 95% CI 1.20-11.27), smokers (HR = 2.51, 95% CI 1.43-4.41), workers exposed to temperature changes (HR = 1.72, 95% CI 1.00-2.93), workers with physically demanding jobs (HR = 3.02, 95% CI 1.39-6.58), and workers exposed to hand vibration (HR = 1.94, 95% CI 1.00-3.77) were at an increased risk of hospitalization for UNE. Exposure to work requiring arm elevation increased the risk of hospitalization due to UNE among smokers (HR = 2.62, 95% CI 1.13-6.07), but not among non-smokers. Work-related exposure to vibration and temperature changes, and physically demanding work increase the risk of hospitalization for UNE. Smoking may potentiate the adverse effects of work-related factors on UNE.

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Figures

Figure 1 Flowchart of study population (the Northern Finland Birth Cohort of 1966, NFBC1966; carpal tunnel syndrome, CTS; ulnar nerve entrapment, UNE).
Figure 1 Flowchart of study population (the Northern Finland Birth Cohort of 1966, NFBC1966; carpal tunnel syndrome, CTS; ulnar nerve entrapment, UNE).CC BY · PubMed Central
Figure 2 Cumulative incidence of hospitalization due to ulnar nerve entrapment (UNE) in different socio-economic groups over follow-up period. One individual was diagnosed with UNE before baseline in 1997.
Figure 2 Cumulative incidence of hospitalization due to ulnar nerve entrapment (UNE) in different socio-economic groups over follow-up period. One individual was diagnosed with UNE before baseline in 1997.CC BY · PubMed Central
Figure 3 Kaplan–Meier curve of hospitalization for ulnar nerve entrapment among men in the subsample in follow-up 1997– 2018, stratified by physically demanding work at baseline. P-value for log-rank test.
Figure 3 Kaplan–Meier curve of hospitalization for ulnar nerve entrapment among men in the subsample in follow-up 1997– 2018, stratified by physically demanding work at baseline. P-value for log-rank test.CC BY · PubMed Central
Figure 4 Kaplan–Meier curve of hospitalization for ulnar nerve entrapment among women in the subsample in follow-up 1997– 2018, stratified by physically demanding work at baseline. P-value for log-rank test.
Figure 4 Kaplan–Meier curve of hospitalization for ulnar nerve entrapment among women in the subsample in follow-up 1997– 2018, stratified by physically demanding work at baseline. P-value for log-rank test.CC BY · PubMed Central

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Research works printed but not linked: 1

  1. Hulkkonen, S., Auvinen, J., Miettunen, J., Karppinen, J. & Ryhänen, J. Smoking is associated with ulnar nerve entrapment: A birth cohort study. Sci. Rep. 9, 9450 (2019). · DOI · Paper page

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Metadata

Authors
Miettinen, L., Ryhänen, J., Shiri, R., Karppinen, J., Miettunen, J., Auvinen, J., & Hulkkonen, S.
Affiliations
  • University of Helsinki (FI)
  • Finnish Institute of Occupational Health (FI)
  • Oulu University Hospital (FI)
Corresponding author
Miettinen, Laura
ORCID
Venue
Scientific Reports
Publisher
Springer Science and Business Media LLC
Published
2021-05-11
Volume
11
Issue
1
Pages
10010-10010
ISSN
2045-2322 (ISSN-L)
DOI
10.1038/s41598-021-89577-7
PMC
PMC8113547
OpenAlex
W3133642230
Cited by
18
References
37
Citations by year
2026: 4 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 4
FWCI
1.45
Type
journal article
Language
en
Open access
Licence
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Työväentutkimus Vuosikirja (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Peripheral Nerve Disorders
  • Social Sciences › Human Factors and Ergonomics › Ergonomics and Musculoskeletal Disorders
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Effects of Vibration on Health
Keywords
ulnar nerve compression, occupational risk factors, smoking, hand vibration exposure, temperature exposure, physically demanding work, arm elevation, entrepreneurs, nerve entrapment, hospitalization
MeSH terms
Female, Finland, Humans, Male, Middle Aged, Occupational Diseases, Smoking, Cohort Studies, Occupational Exposure, Ulnar Nerve Compression Syndromes

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