The influence of occupational activity on diseases of the musculoskeletal system of the upper extremity

• Published in: Der Orthopäde 2022-08, Vol.51 (8), p.669-676
• Main Authors: Hertling, Stefan, Loos, Franziska, Matziolis, Georg, Kirschner, Isabella, Graul, Isabel
• Format: Article
• Language: ger
• ISSN: 1433-0431; 2731-7153
• DOI: 10.1007/s00132-021-04199-1

Diseases of the musculoskeletal system of the upper extremity are the reason for increasing sickness-related absenteeism among the working population. The aim of this study is to investigate the influence of occupational dependence on the development of musculoskeletal disorders of the upper extremities and to present health-related risks in addition to occupation-specific factors. We included 1070 patients who underwent surgical rotator cuff (RC) reconstruction for an RC lesion between 2016 and 2019. The relevant data were retrospectively documented from the hospital information system. The patients' occupations were classified according to the Classification of Occupations 2010 (KldB 2010) and compared with routinely recorded and anonymized freely available data (Federal Statistical Office, Federal Employment Agency). Of the 1070 patients, 844 were of working age. The age structure of the individual areas showed no significant differences. Based on the comparisons of patient data with the population, significantly higher RC injury rates were found in agriculture, forestry, animal husbandry and horticulture (p = 0,003); construction, architecture, surveying and building services engineering (p