Hand Symptoms Associated with Diabetes Mellitus

Abstract

An 1 1 i~v . s t i g r i t k~n of765 Prrtierits Btisrd o n ri Questiotinrri,vABSTRACT. A number of 738 patients with diabetes mellitus (DM) and 371 matched controls answered a questionnaire constructed to detect rheumatic hand symptoms. The DM patients showed significantly more palmar thickening, indicating Dupuytren's contracture and flexor tenosynovitis, and a significantly lower frequency of neurological sensations. There was no statistically significant difference in the estimated frequency of rheumatoid arthritis between the total population and our DM population.

Treating Trigger Finger in Diabetics Using Excision of the Ulnar Slip of the Flexor Digitorum Superficialis with or without A1 Pulley Release

“…Trigger finger is a common disorder as a result of a disproportion in size between the digital flexor tendons and the A1 pulley. Several authors have noted that, in patients with diabetes mellitus, trigger finger is more common [3, 4, 10–13, 17], often occurring in multiple digits [4, 6, 11] and is considered part of the diabetic hand syndrome [1, 4, 7, 12, 15]. In the general patient population, steroid injection into the tendon sheath or around the A1 pulley and surgical release of the A1 pulley have high success rates [2, 8, 14, 16].…”