Diabetic cheiroarthropathy

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(Redirected from Stiff hand syndrome)


Diabetic cheiroarthropathy
Synonyms Diabetic stiff hand syndrome, Limited joint mobility syndrome
Pronounce N/A
Specialty N/A
Symptoms Stiffness of the hands, thickened skin, limited joint mobility
Complications Dupuytren's contracture, Carpal tunnel syndrome
Onset Gradual
Duration Chronic
Types N/A
Causes Diabetes mellitus
Risks Poor glycemic control, long duration of diabetes
Diagnosis Clinical examination, Prayer sign
Differential diagnosis Scleroderma, Rheumatoid arthritis
Prevention N/A
Treatment Physical therapy, Occupational therapy, Glycemic control
Medication N/A
Prognosis Variable, depends on diabetes management
Frequency Common in individuals with long-standing diabetes
Deaths N/A


Diabetic cheiroarthropathy is a complication of diabetes that causes stiffness in the hands and fingers. It is also known as diabetic stiff hand syndrome or diabetic hand syndrome.

Symptoms

The main symptom of diabetic cheiroarthropathy is limited joint mobility, particularly in the hands and fingers. This can make it difficult to fully extend the fingers or perform tasks that require fine motor skills. Other symptoms may include thickened skin, waxy skin, and pain in the hands and fingers.

Causes

Diabetic cheiroarthropathy is caused by changes in the connective tissues as a result of high blood sugar levels. Over time, this can lead to the development of stiff, waxy skin and limited joint mobility.

Diagnosis

Diagnosis of diabetic cheiroarthropathy is typically based on a physical examination and a review of the patient's medical history. The "prayer sign" is a common clinical test used to diagnose this condition. This involves pressing the palms together and seeing if the fingers can be fully extended.

Treatment

Treatment for diabetic cheiroarthropathy primarily involves managing blood sugar levels to prevent further damage to the connective tissues. Physical therapy and exercises may also be recommended to improve joint mobility.

See also

References

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Contributors: Prab R. Tumpati, MD