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Trigger digits in diabetes: their incidence and characteristics
1Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Department of Orthopedic Surgery, Kakegawa City General Hospital, Kakegawa, Japan. skoh@med.nagoya-u.ac.jp
The Journal of Hand Surgery, European Volume
|August 19, 2009
Summary
Diabetes patients have a significantly higher risk of developing trigger digits, especially those dependent on insulin. Multiple digit involvement in trigger digits may indicate underlying diabetes, warranting screening.
Area of Science:
- Orthopedics
- Endocrinology
- Epidemiology
Background:
- Trigger digits (stenosing tenosynovitis) are common, but their association with diabetes mellitus is not fully understood.
- Diabetes is a growing global health concern with various potential complications.
- Understanding the link between diabetes and trigger digits can improve patient care and diagnosis.
Purpose of the Study:
- To determine the incidence and characteristics of trigger digits in patients with diabetes mellitus.
- To compare the prevalence of trigger digits in diabetic versus non-diabetic populations.
- To identify risk factors for trigger digits among diabetic patients.
Main Methods:
- A questionnaire was administered to 544 patients with diabetes to assess trigger digit history.
- Medical records of 132 trigger digit patients undergoing surgery were reviewed.
- Statistical analysis was performed to compare incidences and identify significant associations.
Main Results:
- 10% of diabetic patients reported a history of trigger digits; 4% had multiple digit involvement.
- Insulin-dependent patients showed a significantly higher risk of trigger digits.
- Diabetes was significantly related to involvement of more than three digits.
- The incidence of trigger digits in diabetic patients was approximately four times higher than in the general population.
Conclusions:
- Patients with diabetes have a substantially increased incidence of trigger digits.
- Multiple digit involvement, particularly affecting more than three digits, is a strong indicator for co-existing diabetes.
- Screening for diabetes should be considered in patients presenting with trigger digits involving multiple digits.
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