The hand arm vibration syndrome: a review

Cardiovasc Surg. 1998 Feb;6(1):1-9. doi: 10.1016/s0967-2109(97)00090-2.


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.

Publication types

  • Review

MeSH terms

  • Fingers / blood supply
  • Humans
  • Occupational Diseases*
  • Paresthesia
  • Raynaud Disease*
  • Syndrome
  • Vibration / adverse effects*