Hand & Microsurgery Medical Group, Inc.
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Cumulative Trauma (Repetitive-Stress Injuries)

Repetitive activities of the upper extremities—such as sports activities, playing musical instruments, or work activities that require repetition over the course of six or more hours per day—can result in a variety of problems in the upper extremities.  These problems are termed cumulative trauma, or repetitive-stress injuries.
The exact cause of these problems is unclear, but they are thought to result from repeated very minor trauma to muscles, tendons, and joints within the extremity, resulting in some swelling or inflammation.
The manifestations of cumulative trauma can be quite varied, resulting in conditions ranging from tendonitis problems (such as tennis elbow or golfer's elbow) to de Quervain's disease, to problems associated with synovitis, to an array of nerve-entrapment syndromes:

Median Nerve
Median Nerve at the Wrist (Carpal Tunnel Syndrome)
Median Nerve at the Elbow (Pronator Syndrome)
Anterior Interosseous Nerve Syndrome

Ulnar Nerve
Ulnar Nerve at the Wrist (Ulnar Tunnel Syndrome)
Ulnar Nerve at the Elbow (Cubital Tunnel Syndrome)

Radial Nerve
Radial Nerve in the Proximal Forearm (Radial Tunnel Syndrome)
Posterior Interosseous Nerve Syndrome

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Copyright 2001-2008, Leonard Gordon, M.D./Hand & Microsurgery Medical Group, Inc.