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The Hand Arm Vibration Syndrome: A Review

Since its first description over eight decades ago, the hand arm vibration syndrome vibration white finger as it was previously known has become one of the most common prescribed diseases in the industrialized world. This article is intended to provide a broad review of existing evidence and knowledge regarding a disease which, for medicolegal reasons, demands attention from all medical personnel. Detailed discussion is presented regarding: the multifactorial aetiology of the syndrome: suggestions for clinical assessment, laboratory investigations and classification of disease severity: and strategies for the prevention and treatment of the syndrome. O 1998 The International Society for Cardiovascular Surgery