Purpose Conditions affecting the elbow, forearm, wrist, and hand can cause debilitating pain and loss of function in the working population. While there is knowledge about intervention options for this region of the body, there is limited research on systematically identifying the predictors of return to work in this population. Methods A systematic literature review identified all English-language studies that assess predictors of return to work for people with elbow, wrist, and hand conditions from 2009 to 2021 using PRISMA guidelines. Studies that examined exclusively shoulder injuries, randomized control trials, non-human studies, case studies, case reports, case series, and narrative reviews were excluded. Participants of included studies must have a health-related condition of the fingers, wrist, forearm, and elbow that is preventing work participation and must be 16 years and older. Included studies must be observational, longitudinal, and include a return to work outcome. Results Nineteen out of 170 studies were included. Average time away from work varied between seven to 304 days. Positive predictors of early return to work include: demographics, type of injury, type of treatment, work status, physical factors, psychological factors, use of self-reported outcome measures, and self-reported pain. Conclusion Five clinician recommendations were developed based on the findings of our systematic review. Clinicians should consider the type of work, use of outcome measures, psychological factors, hospitalization, and salary. These recommendations are intended to influence the behavior of clinicians when determining prognosis for return to work of people with elbow, wrist, and hand conditions.

目的影响肘部、前臂、腕部和手部的疾病可导致工作人群虚弱疼痛和功能丧失。虽然有关于身体这个区域的干预选择的知识，但系统地确定该人群重返工作的预测因素的研究有限。方法一项系统的文献综述确定了所有英语研究，这些研究使用 PRISMA 指南评估了 2009 年至 2021 年患有肘部、手腕和手部疾病的人重返工作岗位的预测因素。排除了专门检查肩部损伤的研究、随机对照试验、非人类研究、案例研究、案例报告、案例系列和叙述性评论。纳入研究的参与者必须年满 16 岁且手指、手腕、前臂和肘部存在妨碍工作参与的健康相关状况。纳入的研究必须是观察性的、纵向的，并且包括重返工作岗位的结果。结果170 项研究中有 19 项被纳入。平均下班时间从 7 天到 304 天不等。提前重返工作岗位的积极预测因素包括：人口统计、受伤类型、治疗类型、工作状态、身体因素、心理因素、自我报告结果测量的使用和自我报告的疼痛。结论根据我们系统评价的结果，制定了五项临床医生建议。临床医生应考虑工作类型、结果测量的使用、心理因素、住院和薪水。这些建议旨在影响临床医生在确定肘部、腕部和手部疾病患者重返工作的预后时的行为。