Driller wrist (vibratory arthropathy).

Driller wrist is an occupational disease with pathophysiologic changes resulting from recurrent use of vibratory tools. The entity includes the clinical finding of Raynaud phenomena with or without associated bone changes in the wrist. Osseous involvement is usually mild and is associated with cystic changes of the carpals and occasionally other structures. Two cases are reported, one with typical cystic abnormalities and the other with more severe disease which progressed to joint instability.