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The Journal of Bone and Joint Surgery 83:136 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Letters to The Editor

Repetitive Stress Injury

Peter C. Amadio, MD, John Frymoyer, MD, Robert M. Szabo, MD, MPH and Kenneth J. King, JD

Peter C. Amadio, MD, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905. E-mail address: pamadio@mayo.edu
John Frymoyer, MD, 1450 Braeloch Road Colchester, VT 05446. E-mail address: tofrys@aol.com
Robert M. Szabo, MD, MPH, Department of Orthopaedics, University of California, Davis, School of Medicine, 4860 Y Street, Sacramento, CA 95817. E-mail address: rmszabo@ucdavis.edu
Kenneth J. King, JD, Brobeck, Phleger & Harrison, 1633 Broadway, 47th Floor, New York, NY 10019. E-mail address: kking@brobeck.com

To The Editor:

I am writing with regard to the Current Concepts Review entitled "Repetitive Stress Injury: Diagnosis or Self-Fulfilling Prophecy?" (82-A: 1314-1322, Sept. 2000), by Szabo and King. The authors of the article review a specific legal case of keyboard use as a cause of repetitive stress injury (RSI) and also discuss the topic of overuse injuries in the workplace in general. It is undoubtedly true that the evidence associating keyboard use with specific injuries is weak, that the benefit of ergonomically motivated changes in keyboard design is unknown, and that the use of the term RSI as a specific diagnosis is ill-advised. However, in generalizing from a specific case of keyboard use as a cause of a specific entity called RSI to the larger issues of repetitive activity as a cause of injury in the workplace and the role of ergonomics in understanding and reducing such injuries, Szabo . . . [Full Text of this Article]


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