Abstract
It has been suggested that joint contractures may be an early marker of microangiopathy, especially retinopathy, in diabetic patients. To investigate this possibility, the prevalence of contractures of the finger joints, as assessed by the painted hand technique, was compared in 106 diabetic patients without, and 105 with retinopathy (proliferative in 66%). There was an increased prevalence of contractures in those with diabetes (25.2%) as compared with an age-matched control of 106 subjects (7.5%, P less than 0.01). The prevalence of contractures was similar in those diabetics with and without retinopathy (29.5% v. 20.8%, P less than 0.1), and did not vary with the type of retinopathy. The contracture prevalence rate was also similar in those with a diabetes duration of 5 or more years (retinopathy 29.3%, no retinopathy, 30%) or of similar diabetic duration (retinopathy 20.8%, no retinopathy, 25%). Diabetic control, as assessed by HbA1, was similar in retinopathic patients with or without contractures. We conclude that although finger joint contractures are more prevalent in adult diabetic patients, they are not necessarily a reliable early indicator of the development of retinopathy of any specific type.
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Selected References
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- Grgic A., Rosenbloom A. L., Weber F. T., Giordano B., Malone J. I., Shuster J. J. Joint contracture--common manifestation of childhood diabetes mellitus. J Pediatr. 1976 Apr;88(4 Pt 1):584–588. doi: 10.1016/s0022-3476(76)80011-x. [DOI] [PubMed] [Google Scholar]
- Jackson R. L., Holland E., Chatman I. D., Guthrie D., Hewett J. E. Growth and maturation of children with insulin-dependent diabetes mellitus. Diabetes Care. 1978 Mar-Apr;1(2):96–107. doi: 10.2337/diacare.1.2.96. [DOI] [PubMed] [Google Scholar]
- Kennedy L., Beacom R., Archer D. B., Carson D. J., Campbell S. L., Johnston P. B., Maguire C. J. Limited joint mobility in Type I diabetes mellitus. Postgrad Med J. 1982 Aug;58(682):481–484. doi: 10.1136/pgmj.58.682.481. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rosenbloom A. L., Silverstein J. H., Lezotte D. C., Richardson K., McCallum M. Limited joint mobility in childhood diabetes mellitus indicates increased risk for microvascular disease. N Engl J Med. 1981 Jul 23;305(4):191–194. doi: 10.1056/NEJM198107233050403. [DOI] [PubMed] [Google Scholar]
- Traisman H. S., Traisman E. S., Marr T. J., Wise J. Joint contractures in patients with juvenile diabetes and their siblings. Diabetes Care. 1978 Nov-Dec;1(6):360–361. doi: 10.2337/diacare.1.6.360. [DOI] [PubMed] [Google Scholar]