Document 6w61j77XLNkkry2Gppg0jXKvR

` _ S.iZK-iXt : ir-" * T .., - -r 'T , 53id ALL-OHIO SAFETY CONGRESS & EXHIBIT April 12,13,14,1983 PLAINTIFF'S EXHIBIT BRK-29 . V ' t:`'- v- '*"% - *: C. ' ^ -o' : ' - .'* 1 `-.'I Milton Al*fcander.rs dgpttytren* a contractor eoocupatipnal diseaspclei* & .. i*conditi<w*-pfJ;thtrinf .jdid^niddle finger dfc his r^g&SCsnS*!**t hands". ^ '* -v ' v-* ' ^ ^ " The claimant Indicate*;;In the file that hi* machinist occupation with U.S. Steel, 'as wfj.1 as1 his prior employment history (i.e. heavy equipment^operator and machinist), have, apparently^ all been dominated by manual hand work. Moreover, the file*a Martins Terry Hospital' Records (7*rl9-81) d?aw|( attention to the fact,that:' -v **',,* , Some twenty yes'rs;prior to admission patient states that he began to'experience limitation on Cull extension of the second and fourth finger in each hand. Patient states-that the ri- limitation of^jsbtion has markedly Increased during the last' Civ* years. , * if According to theyILO Bncyclopfidla of Occupational Health and Safety, the etiological conditions of dupuytren's contracture are, in general, extremely complex and still ill-defined. There, however, have been caseswbicb show a clear correlation between the nature of the subject* p'worlo. and^the.'appearance of the disease. Further, statistics display *that workers who suffer repeated microtraumata of the hand a?e often affev ct'ed.- . X. . . - ;* l-. . The RTOSH.publication-on Occupational Diaeaaesi. A Qtiide to Their Recognition.atabes that segmental vibration, unlike .wholebody ' vibration/"appdarh tp'be more a localised'stress onereating injury to the fingers and'bandpejof exposed workers using such:vibratory band tools *as ,chain saws,, pneumatic chipping hammers and picks,-and. 1 * electrically operated-notary grinders. The document also refers to > -the fact that?- there^h.ave' been reported cases of dupuytens's disease . due to"vibratory.daaagsr;; '. . Q, The Inc^tt^JCdrriRthskjh'of-Ot^ Division o/Safety and Hygiene 246 N. High St Columbus, Ohio 43215 . RtcfurdP. GaMCXpwtnior *.W. CnigZinnifrfwr, IndiwbW Cotnmiulon Chairman Stevtn A. Vic* Chairman LaonvdT. Lanca*ttr,MinbT % Pl^AjWwb^MWy<>4lWw*Soprieii>3>tpcibretov.AWbUnc8wpteUnatnt UwwJ.W>l*>.Mf^ro<Sp^MlPwiywndConfcmc^ v u* non *<K *snri*" rryrpff?* tV. OD *19 vV':' "'' f ' .* * Amliex__a__nrd- er* Sr*-. - - 'r. - -V: - ' - ^ --*' ,J v ..; ' O' . -* i. .>. yZ < In another,article fiy-H. Gage on the "Correlation.of Segmental. Vibratlonv$$h-Occupational Disease*, the pertinent, factors of trauaa are n.atitjd'to bd highly interrelated ao that discerning all the. details of'thi'-ptoceas^ia'.difficult. ''. ' '** .- */ V ^ .fV, r - >*>'* v- -' /"' . Many.tunigue* parameters can apply in each given situation, thereat important of which are tool bass and its - distribution# ambient environmental*" conditions,. amplitude and j^u*a*c.,characteristics of the forcing function, ^handle'CcbnClguretion, grip used, force applied; "and ` protectiveclptbifcg worn. -?V-*iV. ^ - v* Additionally^^ XE0`reference states that the onset of dupuytren's contracture-is usualljr insidious. Localisation of. lesions varies and is deflni^e^litfljtiftniped by occupation.*' The course of the diseased may beycealUtauous'dfc'lateralttenti spontaneous regression 'does-not .. : ` ' " ,,^|V ^" * j' ~' ^ When cpaslBering*.^e glven medical infofaatlon and'literature' >- . resourceSc^alpiig-.ifith ^ total work history involving many 'variables of han^.Vbr)^^le^e<ibld bf; extreaely difficult'to establish'a specific *- 3 r* cauBativb,^act^in this case, with specific, reliable research' data beingvrajie4ehd top;inooeplete to fora a:.basle'for a sound . --- understai^pg^dfcrhe'dissase/ it would appear that-, the diagnosis should .be.verified by> objective clinical findings. / The 'results, possibly--i| favor.'df* the relative, incidence ;of the disease, should then^be' judged ;dua..*i#*' precipitativeor causative nature of-the V occupation (si'ltf questlpn. " , v > ^ * -.4 > v -r* 4 -A ' s Respectfully subaitted, * k' f".. *, * * . 1; .* } it ' ' ^ . V'l < "t ^ vV , v, V' - * A.* *'iT- Jane A. Tyika Industrial Hygienist ; *> i .y CERTIFICATE OF AUTHENTICITY I certify that the microphotographics on this roll of film or microfiche are true and accurate pro ductions of records generated by or received by the Ohio Bureau of Workers' Compensation, an agency of the State of Ohio, as required by Ohio Revised Code Section 4123.52 and Section 9.01 which require optimum protection from hazards of accidental destruction of records. It is further certified that the photographic processes used for microfilming the above records were accomplisned in a manner and on microfilm which meets the requirements of the National Bureau of Standards for permanent photographic copy. Date Filmed: BWC-6226111/82) RS-25 (Camera Operator)