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2015, Number 1

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Rev Cuba Endoc 2015; 26 (1)

A propos of three cases of diabetic hand syndrome with limited joint mobility and complicated foot injures

García GY, Miranda BA, Estévez PA, Valdés RA, Barnés DJA

Language: Spanish
References: 60
Page: 33-46
PDF size: 207.08 Kb.


ABSTRACT

Introduction: diabetes mellitus is associated to a variety of musculoskeletal alterations in hands. The term diabetic hand syndrome frequently occurs in medical literature, although there is no exact definition and to date, it has not been recognized as specific disease complication. The physical exam for early detection of these alterations might prevent severe disability.
Objectives: to describe the most common musculoskeletal alterations in diabetic persons’ hands using 3 patients with limited joint mobility who were hospitalized because of complicated foot injures.
Development: among the most common hand alterations observed in diabetic persons are limited joint mobility, Dupuytren’s contracture, ulnar neuropathy and Carpal tunnel syndrome. Each of them has its own particularities and may be easily diagnosed through physical exam. They are related to length of disease, poor metabolic control and microvascular complications as it happens in the present cases with severe limited joint mobility. These deformities affect daily life activities and the quality of life of patients. Additionally, they guide the physicians in searching undiagnosed microvascular complications, hence the importance of detecting them.
Conclusions: the early detection of hand alterations in diabetics has significant personal and health implications, so a systematic exam is required to be performed in all the patients.


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