在成人1型糖尿病中量化关节运动限制的量化
Sanat Phatak1, Pranav Mahadevkar2, Kaustubh Suresh Chaudhari1
1Diabetes Unit, King Edward Memorial (KEM) Hospital Research Centre, Pune, India.
Frontiers in endocrinology
|November 29, 2023
概括
糖尿病手的硬度,或cheiroarthropathy,限制了移动性,并与皮肤厚度相关. 磁共振成像可以量化这些变化,帮助未来的糖尿病研究.
科学领域:
- 内分泌学 在内分泌学.
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 糖尿病关节病导致手部纤维化和行动能力受限.
- 这些情况可能表明糖尿病中存在系统性益纤维化过程.
- 目前的定义不一致,阻碍了对器官参与和治疗结果的研究.
研究的目的:
- 为了测量元手腕关节 (MCP) 延伸作为糖尿病手部移动性的指标.
- 为了确定磁共振 (MR) 影像测定MCP关节限制的决定因素在1型糖尿病.
主要方法:
- 通过调查问卷和临床检查,对237名1型糖尿病成年人进行了手部问题查.
- 通过Duruoz手指数 (DHI) 和握力来评估手的功能.
- 通过MCP扩展对MR成像 (MRI) 分离患者,并比较临床/MRI发现.
主要成果:
- 33.8%的患者有有限的MCP延伸 (39°对61°),与较高的DHI得分相关.
- 动力受限与手掌皮肤厚度增加相关,但并没有发生紧神经或中枢神经变化.
- 身高,血压和脏病与MCP扩展有关.
结论:
- 限制的平均MCP延伸量化了糖尿病关节关节病的关节运动限制.
- 使用MRI识别了结构相关性,特别是手掌皮肤厚度.
- 这些定量MRI测量可以促进未来的糖尿病关联和干预研究.
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