{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:03:59Z","timestamp":1792717439986,"version":"4.5.0"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2004,8,5]],"date-time":"2004-08-05T00:00:00Z","timestamp":1091664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2004,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the prevalence, interrelation, and impact of musculoskeletal disorders of the upper limb in the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 9,696 randomly selected adults of working age were surveyed in a 2\u2010stage cross\u2010sectional study involving a screening questionnaire and a standardized physical examination in symptomatic subjects. Age\u2010 and sex\u2010specific prevalence rates were estimated for several musculoskeletal disorders and for nonspecific pain in the upper limbs. The overlap and impact on daily activities and healthcare utilization were explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 6,038 first\u2010stage responders, 3,152 reported upper limb symptoms and 1,960 were subsequently examined. Of subjects with pain, 44.8% had 1 or more specific soft\u2010tissue disorders. Site\u2010specific prevalence rates were as follows: shoulder tendinitis 4.5% among men and 6.1% among women; adhesive capsulitis 8.2% among men and 10.1% among women; lateral epicondylitis 1.3% among men and 1.1% among women; de Quervain's disease 0.5% among men and 1.3% among women; other tenosynovitis of the hand or wrist, 1.1% among men and 2.2% among women. Specific disorders tended to cluster (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) in individuals, with particular overlap at the shoulder. Compared with subjects with nonspecific pain, those with specific disorders more often reported inability to perform everyday tasks (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05), consultation with a doctor (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05), and use of prescribed medication (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Upper limb pain is common in the general population and is often associated with physical signs suggestive of specific upper\u2010limb disorders. These disorders have a substantial impact on physical function and use of health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/art.20535","type":"journal-article","created":{"date-parts":[[2004,8,9]],"date-time":"2004-08-09T14:57:10Z","timestamp":1092063430000},"page":"642-651","source":"Crossref","is-referenced-by-count":529,"title":["Prevalence and impact of musculoskeletal disorders of the upper limb in the general population"],"prefix":"10.1002","volume":"51","author":[{"given":"Karen","family":"Walker\u2010Bone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith T.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Reading","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Coggon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,8,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.3109\/03009747409097141"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780340619"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.6.574"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.2.153"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90038-O"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199804)41:4<720::AID-ART20>3.0.CO;2-6"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-199309000-00004"},{"key":"e_1_2_6_9_2","volume-title":"Self\u2010reported work\u2010related illness in 1995","author":"Jones JR","year":"1998"},{"key":"e_1_2_6_10_2","volume-title":"Musculoskeletal disorders (MSDs) and workplace factors","author":"Bernard BP","year":"1997"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/oem.55.4.264"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0049-0172(03)00129-X"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.12.1103"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.59.1.5"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.pubmed.a024464"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-6870(87)90010-X"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/49.3.171"},{"key":"e_1_2_6_18_2","volume-title":"British national census data","author":"Office of National Population Statistics","year":"1991"},{"key":"e_1_2_6_19_2","volume-title":"National labour force survey","author":"Office of National Population Statistics","year":"1999"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.28.2.121"},{"key":"e_1_2_6_22_2","first-page":"15","article-title":"Rheumatic symptoms in the middle\u2010aged population in south\u2010western Finland","volume":"47","author":"Takala J","year":"1982","journal-title":"Scand J Rheumatol"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/03009748909102096"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.57.11.649"},{"key":"e_1_2_6_25_2","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1097\/00003086-198806000-00032","article-title":"Shoulder pain in middle age","volume":"231","author":"Bergenudd H","year":"1988","journal-title":"Clin Orthop"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.56.5.308"},{"key":"e_1_2_6_27_2","unstructured":"Walker\u2010BoneK.Prevalence of and risk factors for musculoskeletal disorders of the neck and upper limb[Thesis]. 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