Diabetic hand syndrome

Relationship of rheumatoid factor positivity to prevalence of joint manifestations in type 2 diabetes which are unrelated to rheumatoid arthritis

“…3 Syndrome of limited joint mobility variously known as diabetic cheiroarthropathy, stiff hand syndrome or diabetic hand syndrome was first described by Jung et al in adult diabetics and Grgic et al in type 1 diabetes. 5 Rosenbloom et al 7 who gave LJM syndrome this name recognized its association with type 1 diabetes. LJM is a condition of stiffness principally in the hands that occasionally extends to the proximal upper extremities and spine.…”

Rheumatological Manifestations of Diabetes Mellitus ─ An Update

“…It is a form of entrapment neuropathy which is often worse at night. 31 Its prevalence is 20% in diabetics and 75% in those with LJM. 32 It is more common in females than males.…”

“…It has close association with age and duration of diabetes. 31 Treatment is conservative and surgery. The conservative therapy includes splinting, steroids, physiotherapy, analgesics and vitamin B6 supplementation.…”

Diabetic Complications and Their Prevention or Reversal

“…The earliest and most common accompaniment of insulin-dependent diabetes is clinically insignificant neuropathy, i.e., the diabetic hand syndrome, 43 absence of ankle reflexes, and decreased nerve conduction velocity. 30 Mild or severe neuritis with paraesthesias is less frequent.…”