Main Article Content
Abstract
DESIGN: Cross-sectional study of 248 diabetic patients selected at random, setting , Out-patient clinic,diabetic centre ,AL- Nassriah city .
MEASURES: Presence and extent of carpal tunnel syndrome (CTS), Dupuytren's contracture (DC), flexor tenosynovitis (FTS), and limited joint mobility (LJM). Duration of diabetes, metabolic control .
RESULTS: Carpal tunnel syndrome, DC, FTS and LJM were each present in significant number. Hand abnormalities were observed in 39.5% and more than one abnormality was also found in a significant number.. The hand abnormalities were associated with the duration of diabetes but not with the metabolic control .
CONCLUSION: The prevalence of hand abnormalities in diabetic patients is high and increases with the duration of diabetes. ,but not the glycaemic control.
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References
- Chaudhuri KR, Davidson AR, Morris IM. Limited joint mobility and carpal tunnel syndrome in insulin-dependent diabetes. Br J Rheumatol 1989; 28:191.
- Phalen GS. Reflections on 21 years' experience with the carpal-tunnel syndrome. JAMA 1970; 212:1365.
- Blodgett RC Jr, Lipscomb PR, Hill RW. Incidence of hematologic disease in patients with carpal tunnel syndrome. JAMA 1962; 182:814.
- Gulliford MC, Latinovic R, Charlton J, Hughes RA. Increased incidence of carpal tunnel syndrome up to 10 years before diagnosis of diabetes. Diabetes Care 2006; 29:1929.
- Thomsen NO, Cederlund R, Rosén I, et al. Clinical outcomes of surgical release among diabetic patients with carpal tunnel syndrome: prospective follow-up with matched controls. J Hand Surg Am 2009; 34:1177.
- Thomsen NO, Rosén I, Dahlin LB. Neurophysiologic recovery after carpal tunnel release in diabetic patients. Clin Neurophysiol 2010; 121:1569.
- Sibbitt, WL. Fibrosing syndromes: diabetic stiff hand syndrome, Dupuytren's contracture and plantar fasciitis. In: Arthritis and Allied Conditions, 11th ed, McCarty, DJ (Ed), Lea & Febiger, Philadelphia 1989.
- Noble J, Heathcote JG, Cohen H. Diabetes mellitus in the aetiology of Dupuytren's disease. J Bone Joint Surg Br 1984; 66:322.
- Yosipovitch G, Yosipovitch Z, Karp M, Mukamel M. Trigger finger in young patients with insulin dependent diabetes. J Rheumatol 1990; 17:951.
- Kameyama M, Meguro S, Funae O, et al. The presence of limited joint mobility is significantly associated with multiple digit involvement by stenosing flexor tenosynovitis in diabetics. J Rheumatol 2009; 36:1686.
- Kapoor A, Sibbitt WL Jr. Contractures in diabetes mellitus: the syndrome of limited joint mobility. Semin Arthritis Rheum 1989; 18:168.
- Jelinek JE. The skin in diabetes. Diabet Med 1993; 10:201.
- Seibold JR. Digital sclerosis in children with insulin-dependent diabetes mellitus. Arthritis Rheum 1982; 25:1357.
- Kozin, F. Painful shoulder and the reflex sympathetic dystrophy syndrome. In: Arthritis and Allied Conditions, 11th ed, McCarty, DJ (Ed), Lea & Febiger, Philadelphia 1989.
- Jelinek JE. The skin in diabetes. Diabet Med 1993; 10:201.
- Kapoor A, Sibbitt WL Jr. Contractures in diabetes mellitus: the syndrome of limited joint mobility. Semin Arthritis Rheum 1989; 18:168.
- Seibold JR. Digital sclerosis in children with insulin-dependent diabetes mellitus. Arthritis Rheum 1982; 25:1357.
- Arkkila PE, Kantola IM, Viikari JS. Limited joint mobility in type 1 diabetic patients: correlation to other diabetic complications. J Intern Med 1994; 236:215.
- Ramchurn N, Mashamba C, Leitch E, et al. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J Intern Med 2009; 20:718.
- Clarke CF, Piesowicz AT, Spathis GS. Limited joint mobility in children and adolescents with insulin dependent diabetes mellitus. Ann Rheum Dis 1990; 49:236.
- Eadington DW, Patrick AW, Frier BM. Association between connective tissue changes and smoking habit in type 2 diabetes and in non-diabetic humans. Diabetes Res Clin Pract 1991; 11:121.
- Gamstedt A, Holm-Glad J, Ohlson CG, Sundström M. Hand abnormalities are strongly associated with the duration of diabetes mellitus. J Intern Med 1993; 234:189.
- Cagliero E, Apruzzese W, Perlmutter GS, Nathan DM. Musculoskeletal disorders of the hand and shoulder in patients with diabetes mellitus. Am J Med 2002; 112:487.
- Nathan DM, Singer DE, Hurxthal K, Goodson JD. The clinical information value of the glycosylated hemoglobin assay. N Engl J Med 1984; 310:341.
- Goldstein DE. Is glycosylated hemoglobin clinically useful? N Engl J Med 1984; 310:384.
- Steffes MW, Sacks DB. Measurement of circulating glucose concentrations: the time is now for consistency among methods and types of samples. Clin Chem 2005; 51:1569.
- Hanas R, John G, International HBA1c Consensus Committee. 2010 consensus statement on the worldwide standardization of the hemoglobin A1C measurement. Diabetes Care 2010; 33:1903.
- Gorka G., Labor-Medizin,1, 30-31 ( 1985 ) .
- James T.M. et al., Clin. Biochem. 14, 25-27 ( 1981 ) .
References
Chaudhuri KR, Davidson AR, Morris IM. Limited joint mobility and carpal tunnel syndrome in insulin-dependent diabetes. Br J Rheumatol 1989; 28:191.
Phalen GS. Reflections on 21 years' experience with the carpal-tunnel syndrome. JAMA 1970; 212:1365.
Blodgett RC Jr, Lipscomb PR, Hill RW. Incidence of hematologic disease in patients with carpal tunnel syndrome. JAMA 1962; 182:814.
Gulliford MC, Latinovic R, Charlton J, Hughes RA. Increased incidence of carpal tunnel syndrome up to 10 years before diagnosis of diabetes. Diabetes Care 2006; 29:1929.
Thomsen NO, Cederlund R, Rosén I, et al. Clinical outcomes of surgical release among diabetic patients with carpal tunnel syndrome: prospective follow-up with matched controls. J Hand Surg Am 2009; 34:1177.
Thomsen NO, Rosén I, Dahlin LB. Neurophysiologic recovery after carpal tunnel release in diabetic patients. Clin Neurophysiol 2010; 121:1569.
Sibbitt, WL. Fibrosing syndromes: diabetic stiff hand syndrome, Dupuytren's contracture and plantar fasciitis. In: Arthritis and Allied Conditions, 11th ed, McCarty, DJ (Ed), Lea & Febiger, Philadelphia 1989.
Noble J, Heathcote JG, Cohen H. Diabetes mellitus in the aetiology of Dupuytren's disease. J Bone Joint Surg Br 1984; 66:322.
Yosipovitch G, Yosipovitch Z, Karp M, Mukamel M. Trigger finger in young patients with insulin dependent diabetes. J Rheumatol 1990; 17:951.
Kameyama M, Meguro S, Funae O, et al. The presence of limited joint mobility is significantly associated with multiple digit involvement by stenosing flexor tenosynovitis in diabetics. J Rheumatol 2009; 36:1686.
Kapoor A, Sibbitt WL Jr. Contractures in diabetes mellitus: the syndrome of limited joint mobility. Semin Arthritis Rheum 1989; 18:168.
Jelinek JE. The skin in diabetes. Diabet Med 1993; 10:201.
Seibold JR. Digital sclerosis in children with insulin-dependent diabetes mellitus. Arthritis Rheum 1982; 25:1357.
Kozin, F. Painful shoulder and the reflex sympathetic dystrophy syndrome. In: Arthritis and Allied Conditions, 11th ed, McCarty, DJ (Ed), Lea & Febiger, Philadelphia 1989.
Jelinek JE. The skin in diabetes. Diabet Med 1993; 10:201.
Kapoor A, Sibbitt WL Jr. Contractures in diabetes mellitus: the syndrome of limited joint mobility. Semin Arthritis Rheum 1989; 18:168.
Seibold JR. Digital sclerosis in children with insulin-dependent diabetes mellitus. Arthritis Rheum 1982; 25:1357.
Arkkila PE, Kantola IM, Viikari JS. Limited joint mobility in type 1 diabetic patients: correlation to other diabetic complications. J Intern Med 1994; 236:215.
Ramchurn N, Mashamba C, Leitch E, et al. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J Intern Med 2009; 20:718.
Clarke CF, Piesowicz AT, Spathis GS. Limited joint mobility in children and adolescents with insulin dependent diabetes mellitus. Ann Rheum Dis 1990; 49:236.
Eadington DW, Patrick AW, Frier BM. Association between connective tissue changes and smoking habit in type 2 diabetes and in non-diabetic humans. Diabetes Res Clin Pract 1991; 11:121.
Gamstedt A, Holm-Glad J, Ohlson CG, Sundström M. Hand abnormalities are strongly associated with the duration of diabetes mellitus. J Intern Med 1993; 234:189.
Cagliero E, Apruzzese W, Perlmutter GS, Nathan DM. Musculoskeletal disorders of the hand and shoulder in patients with diabetes mellitus. Am J Med 2002; 112:487.
Nathan DM, Singer DE, Hurxthal K, Goodson JD. The clinical information value of the glycosylated hemoglobin assay. N Engl J Med 1984; 310:341.
Goldstein DE. Is glycosylated hemoglobin clinically useful? N Engl J Med 1984; 310:384.
Steffes MW, Sacks DB. Measurement of circulating glucose concentrations: the time is now for consistency among methods and types of samples. Clin Chem 2005; 51:1569.
Hanas R, John G, International HBA1c Consensus Committee. 2010 consensus statement on the worldwide standardization of the hemoglobin A1C measurement. Diabetes Care 2010; 33:1903.
Gorka G., Labor-Medizin,1, 30-31 ( 1985 ) .
James T.M. et al., Clin. Biochem. 14, 25-27 ( 1981 ) .
