Preventing the hand-arm vibration syndrome

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6929.655a (Published 05 March 1994) Cite this as: BMJ 1994;308:655
  1. R A Palmer,
  2. J Collin
  1. United Medical and Dental Schools, St Thomas, Hospital, London SE1 7EH
  2. Nuffield Department of Surgery, John Radcliffe Hospital, Oxford OX3 9DU.

    EDITOR, - The hand-arm vibration syndrome is caused by prolonged use of vibrating tools, including pneumatic tools, rotary burring tools, swaging or fettling tools, chain saws, chipping hammers, grinders, concrete vibrothickeners, and concrete levelling vibrotables. The syndrome comprises musculoskeletal and neurological symptoms and vibration white finger (Raynaud's syndrome).1 In Britain the tools are used for long periods by roughly 150 000 people,2 and some 20 000 people suffer from vibration white …

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