Hand disorders associated with diabetes: a review

Area of Science:

• Hand surgery
• Endocrinology
• Diabetic complications

Background:

• Diabetes mellitus can affect multiple organs, including the hands.
• Diabetic patients have a higher incidence of carpal tunnel syndrome, trigger finger, and Dupuytren's disease.
• Other less recognized hand issues like limited joint mobility and weakness are also prevalent in diabetics.

Purpose of the Study:

• To present common and less recognized hand disorders in diabetic patients.
• To compare clinical presentation, treatment methods, and outcomes between diabetic and non-diabetic patients.
• To explore potential complications and risk factors associated with these hand conditions in diabetes.

Main Methods:

• Literature review and synthesis of existing studies on hand disorders in diabetic patients.
• Comparative analysis of clinical features and treatment approaches.
• Examination of prevalence data related to diabetes duration, metabolic control, and comorbidities.

Main Results:

• Diabetic hand conditions exhibit distinct clinical presentations and may require tailored treatment strategies.
• Prevalence of these disorders correlates with diabetes duration, poor glycemic control, and the presence of retinopathy and nephropathy.
• While direct complications are not always evident, the association with disease progression is suggested.

Conclusions:

• Diabetic hand complications are a significant concern, impacting quality of life.
• Early recognition and management, considering glycemic control and associated diabetic issues, are crucial.
• Further research is warranted to fully elucidate the pathophysiology and optimize treatment for diabetic hand disorders.