Title: Prevalence of Cheiroarthropathy in Diabetic Patients in a Tertiary Care Centre – an Observational Study
Authors: Asmath Thasni.M, Sreedevi Menon Parappil, Mohan Raj Manjalavil, Chandni R
Introduction: Diabetic cheiroarthropathy (diabetic stiff hand syndrome) is a clinical condition characterized by thickened skin andpainless limitation of mobility of small joints of the hand. The objective of the study was to find out the prevalence of cheiroarthropathy in type 2 diabetes mellitus patients and to study its relationship with age, gender, duration of diabetes, glycaemic control and BMI.
Methods: A cross sectional study was conducted in 300 patients with type 2 DM. Diabetic cheiroarthropathy (diabetic stiff hand syndrome)or limited joint mobility was evaluated clinically by the ‘prayer sign’ in which the patients were asked to approximate the palmar surfaces of their interphalangeal joints, with the fingers fanned and the wrist maximally extended. If they were unable to do so, the test was considered positive. The data were statistically analysed.
Results: Cheiroarthropathy was seen in 21.7% of patients with type 2 diabetes. There was a statistically significant association betweenoccurrence of cheiroarthropathy and increasing age, duration of diabetes and poor glycaemic status.
Conclusion: Cheiroarthropathy is a commonly prevalent musculoskeletal disorder among patients with type 2 diabetes, its occurrencebeing more prevalent with increasing age, long duration of diabetes and poorly controlled glycaemic status.
Keywords: Type 2 diabetes mellitus, cheiroarthropathy, age, gender, duration of diabetes, glycaemic status, BMI