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Hand–arm vibration syndrome (HAVS) is common among lumberjacks, riveters and pneumatic drillers.1 This syndrome encompasses a group of vibration-induced vascular and neurological disorders, which commonly manifest as Raynaud's phenomenon, peripheral neuropathy and muscular weakness.2 However, vibration-induced bone and joint disorders are less common and mild in most cases.3 We recently encountered a patient with multifocal carpal osteonecrosis that was most likely attributable to prolonged vibration exposure.
A 31-year-old construction worker presented with severe right-sided wrist pain for the past 3 weeks. He reported working with pneumatic drills for the past 12 years with an average vibration exposure of 5 h per day for 5 days a week. On physical examination, the range of movement of …
Contributors MA and AR were involved in the conception, design and data acquisition; SS and NU-AB were involved in the revision for important intellectual content; all authors were involved in the preparation of the manuscript and approval of the final version to be published.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.