ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Hand And Upper Extremity Pathologies In Diabetes Mellitus
Nilüfer BALCI*, Serdar TÜZÜNER**, Mustafa Kemal BALCI***
* Yrd.Doç.Dr.,Akdeniz Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji AD, Spor Hekimliği BD,** Doç.Dr.,Akdeniz Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji AD, El Cerrahisi BD,*** Doç.Dr.,Akdeniz Üniversitesi Tıp Fakültesi İç Hastalıkları AD, Endokrinoloji ve Metabolizma Hastalıkları BD, ANTALYA
Objectives of this study are to find the prevalence of hand pathologies in diabetic patients and to evaluate associations between the upper extremity pathologies. 318 patients were selected at random from out-patient clinic of Endocrinology Department of Internal Medicine, Medical School of Akdeniz University Hospital in Antalya, from September 1997 to May 1998. This cross-sectional study of 318 diabetics (21 insulin dependent, 297 non-insulin dependent) showed significantly higher incidence of trigger finger (6 patients, 1.8%), carpal tunnel syndrome (43 patients, 13.5%), Dupuytren’s contracture (58 patients, 18.2%), limited joint mobility (79 patients, 24.8%), and shoulder adhesive capsulitis (88 patients, 27.6%) in the diabetic population. 238 patients had a minimum of 12 months of follow-up. In conclusion the prevalence of hand pathologies in diabetic patients is high and increases with the duration of diabetes and age of the patient. In many cases patients with hand pathologies can be helped by physical therapy and surgery.Keywords: Diabetes mellitus, Dupuytren’s contracture,
Adhesive capsulitis, Limited joint mobility,
Carpal tunnel syndrome, Trigger finger,
Chronic complicationsTurkiye Klinikleri J Med Sci 1999, 19:18-24
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