Shoulder Injury - Musculoskeletal Disorders: Evidence for Work Accidents

Your work accident lawyer at Weitz & Luxenberg wants you to be aware of all the factors involved in your work accident lawsuit. The following information is based on a study conducted by NIOSH in 1997. Some of the facts involved may change with time, increased study, the circumstances specific to your case. Only an experienced work accident lawyer can properly evaluate your case and determine if you are eligible for a no out-of-pocket expense work accident lawsuit. Fill out this form for a FREE consultation.

There are over 20 epidemiologic studies that have examined workplace factors and their relationship to shoulder musculoskeletal disorders (MSDs). These studies generally compared workers in jobs with higher levels of exposure to workers with lower levels of exposure, following observation or measurement of job characteristics. Using epidemiologic criteria to examine these studies, and taking into account issues of confounding, bias, and strengths and limitations of the studies, we conclude the following:

There is evidence for a positive association between highly repetitive work and shoulder MSDs. The evidence has important limitations. Only three studies specifically address the health outcome of shoulder tendinitis and these studies involve combined exposure to repetition with awkward shoulder postures or static shoulder loads. The other six studies with significant positive associations dealt primarily with symptoms. There is insufficient evidence for a positive association between force and shoulder MSDs based on currently available epidemiologic studies. There is evidence for a relationship between repeated or sustained shoulder postures with greater than 60 degrees of flexion or abduction and shoulder MSDs. There is evidence for both shoulder tendinitis and nonspecific shoulder pain. The evidence for specific shoulder postures is strongest where there is combined exposure to several physical factors like holding a tool while working overhead. The association was positive and consistent in the six studies that used diagnosed cases of shoulder tendinitis, or a constellation of symptoms and physical findings consistent with tendinitis, as the health outcome. Only one [Schibye et al. 1995] of the thirteen studies failed to find a positive association with exposure and symptoms or a specific shoulder disorder. This is consistent with the evidence that is found in the biomechanical, physiological, and psychosocial literature.

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