The effects of the diabetes related soft tissue hand lesions and the reduced hand strength on functional disability of hand in type 2 diabetic patients

Savaş, Serpil; Köroğlu, Banu Kale; Koyuncuoğlu, Hasan Rıfat; Uzar, Ertuğrul; Çelik, Hakan; Tamer, Numan

doi:10.1016/j.diabres.2006.10.020

Cited by 94 publications

(66 citation statements)

References 31 publications

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“…Over the past years, it has been shown that the most important predictor of the development of rheumatic complications in diabetes is blood glucose control (17)(18)(19)(20)(21). In our study, there was no significant association between blood glucose control and articular or abarticular manifestations.…”

Section: Figure 1 Prevalence Of Articular and Abarticular Manifestatcontrasting

confidence: 47%

Articular and abarticular manifestations in type 2 diabetes mellitus

et al. 2014

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Objective: Diabetes mellitus (DM), a worldwide high-prevalence disease, is associated with a large variety of rheumatic manifestations.It affects the connective tissues in many ways and causes alterations in the periarticular and the musculoskeletal systems. In most cases, these manifestations are associated with functional disability and pain, affecting the quality of life of the diabetic patient. The aim of our study is to review the different articular and abarticular manifestations in diabetic patients and the associated factors of these rheumatic manifestations.Material and Methods: A cross-sectional study that includes all patients suffering from type 2 DM who present with articular or abarticular manifestations.Results: We included 116 diabetic patients presenting with articular or abarticular manifestations. Our study showed four important findings. First, a large variety of articular and abarticular manifestations were present in patients with type 2 DM. Second, osteoarthritis (OA) of the knee was the most frequent articular manifestations. It was seen in 49% of our patients. Third, the most common manifestations in diabetic Moroccan patients were carpal tunnel syndrome (CTS), adhesive capsulitis of the shoulder, and diabetic cheiroarthropathy (29%, 23%, and 16%, respectively). Fourth, there was a significant association between vascular complications and the development of articular and abarticular manifestations. Conclusion:This study shows that the articular and abarticular manifestations in diabetic Moroccan patients are dominated by CTS, adhesive capsulitis of the shoulder, and diabetic cheiroarthropathy, with a significant association between vascular complications and the development of some of these manifestations.

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Section: Figure 1 Prevalence Of Articular and Abarticular Manifestatcontrasting

confidence: 47%

Articular and abarticular manifestations in type 2 diabetes mellitus

et al. 2014

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“…[7] These complications are often found, and, although less valued than the vascular ones, they significantly compromise the patients' quality of life. [8] Epidemiologic studies have identified several personal, occupational and psychosocial factors related to the musculoskeletal disorders. [9] Even though the exact pathophysiology of most of these musculoskeletal disorders remains obscure, however, connective tissue disorders, neuropathy or vasculopathy may have a synergistic effect on the increased incidence of musculoskeletal disorders in DM.…”

Section: Discussionmentioning

confidence: 99%

The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population

Bhat

Dhar

Dar

et al. 2016

IJHS

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Objectives: Diabetes mellitus (DM), is affecting an ever increasing number of people worldwide. Diabetes is associated with several musculoskeletal manifestations. These may involve, the upper as well as the lower limb. We conducted this study to find out the prevalence of musculoskeletal problems in type 2 diabetics in the Kashmiri population. Methodology:The study was conducted on 403 patients with diabetes and 300 controls. All patients underwent screening for any musculoskeletal abnormalities. The patients with musculoskeletal abnormalities were further assessed to find the exact diagnosis according to predefined criteria. Results:The hand was involved in 80 patients [19.8%] in the diabetic group and 15 (5%) patients of the control group. The elbow was affected in 56 patients [14%] in the diabetic group and 24 patients [5.9%] in the non-diabetic group. The shoulder involvement was diagnosed in 61 patients [15%] on the diabetic cohort and 15 patients in the non-diabetic cohort. All the upper limb figures showed a statistically significant difference i.e. P value <0.05. Conclusion:The prevalence of musculoskeletal complications in type 2 diabetics in Kashmir is quite high.

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“…Our study showed associations between hand soft tissue changes in T2DM patients with poor glycemic control which was the most important predictor and affect the three types of hand deformities in our study, this is in line with the findings obtained in a British cohort that demonstrated a strong association between musculoskeletal manifestations and poor blood glucose control. 19 Vascular complications are another important predisposing factor, since the presence of MVC associated with increased risks of developing LMJ by 2.2 times, TF by 8.7 times while it was protective for DC but these findings were statistically not significant. This is in line with Ardic et al study.…”

Section: Data Management and Statistical Analysismentioning

confidence: 75%

Hand abnormalities in diabetics: Prevalence and predictors in Erbil city

Albarzinji

Mohammed²

2017

ZJMS

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Results: Of the total 100 diabetic patients, 63% had macrovascular complications and 60% had one or more hand disorders. Limited joint mobility (47% vs. 18%, respectively; P = 0.0001) and Dupuytren's contracture (16% vs. 2%, respectively; P = 0.001) were significantly higher in type 2 diabetes mellitus patients than in the controls, but not trigger finger. These hand soft-tissue changes correlated significantly with poor glycemic control. Conclusion: This study shows a high prevalence of hand disorders in diabetic patients with the limited joint mobility being the most common hand disorder. The hand soft tissue changes are under recognized in diabetic patients, occurring in 60% of the cases. We recommend that physicians should consider examining the periarticular region of the joints in the hands in each diabetic patient.

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The effects of the diabetes related soft tissue hand lesions and the reduced hand strength on functional disability of hand in type 2 diabetic patients

Cited by 94 publications

References 31 publications

Articular and abarticular manifestations in type 2 diabetes mellitus

Articular and abarticular manifestations in type 2 diabetes mellitus

The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population

Hand abnormalities in diabetics: Prevalence and predictors in Erbil city

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