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Related Experiment Videos

Hand dysfunction in patients on chronic hemodialysis

L L Carroll1, A H Tzamaloukas, A E Scremin

  • 1Rehabilitation Medicine Service, Albuquerque Veterans Affairs Medical Center.

The International Journal of Artificial Organs
|October 1, 1993
PubMed
Summary

Hemodialysis patients frequently experience severe hand dysfunction due to nerve damage and bone issues. Early detection through clinical exams and nerve studies is crucial for managing these complications.

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Area of Science:

  • Nephrology
  • Neurology
  • Orthopedics

Background:

  • Chronic kidney disease patients undergoing hemodialysis often develop complications affecting extremities.
  • Hand dysfunction can significantly impair quality of life and daily activities in this population.

Purpose of the Study:

  • To comprehensively evaluate hand function in hemodialysis patients.
  • To identify the prevalence and causes of hand dysfunction in this cohort.
  • To assess the utility of clinical examination, imaging, and electrodiagnostic studies.

Main Methods:

  • Clinical assessment of sensory, motor, and coordination function, and activities of daily living.
  • Hand radiography (roentgenograms) to evaluate bone disease, joint disease, and calcifications.
  • Nerve conduction studies to diagnose polyneuropathy and carpal tunnel syndrome.

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Main Results:

  • 98% of hands showed sensory deficits; 67% had motor/coordination abnormalities.
  • 88% of hands had abnormal roentgenograms, revealing metabolic bone disease, joint disease, and calcifications.
  • 90% of hands exhibited polyneuropathy and/or carpal tunnel syndrome via nerve conduction studies.

Conclusions:

  • Hemodialysis is associated with high rates of hand dysfunction, primarily due to polyneuropathy and carpal tunnel syndrome.
  • While clinical examination is sensitive, it lacks specificity for differentiating neuropathies.
  • Early diagnosis and management of hand complications are essential for hemodialysis patients.