Final answer:
The pathological condition likely to require a reduction in manual exposure factors is rheumatoid arthritis, an autoimmune disease that causes significant joint inflammation and damage.
Step-by-step explanation:
The pathological condition that may require a reduction in manual exposure factors is rheumatoid arthritis. Rheumatoid arthritis involves the chronic release of inflammatory cytokines and the formation of immune complexes causing inflammatory processes in the joints. Such conditions can lead to extensive damage to joints and surrounding tissues as shown in X-rays. In contrast, conditions like a rotator cuff tear, bursitis, and a Bankart lesion are more likely associated with trauma or overuse and may not necessarily require reduced manual exposure unless specified by the severity of inflammation or as judged by a medical professional on a case-by-case basis.