Diabetic hand syndrome

Autor: Y. Jung, J.A. Gerneth, J. Novak, T.C. Hohmann, R.H. Newton, B.J. D'Andrea, T. S. Danowski, R. C. Wasserman
Rok vydání: 1971
Předmět:
Zdroj: Metabolism. 20:1008-1015
ISSN: 0026-0495
DOI: 10.1016/0026-0495(71)90023-0
Popis: In this study two findings in diabetic neuropathy of the upper extremities are emphasized: flexion contractures of the fingers that may or may not be of the Dupuytren type, and delays in the transmission of median nerve motor impulses from the wrist to the hand of the degree usually considered to be diagnostic of a carpal tunnel syndrome. Such flexion contractures of the fingers correlate positively with the interval since the diagnosis of diabetes and are associated with slower transmission of motor nerve impulses in the forearm, variable delays in transmission of median and ulnar motor impulses from the wrist to the fingers, and decreased vibration perception. Delays in transmission of median nerve motor impulses from the wrist to the fingers of diabetic patients are accompanied about one-half of the time by similar delays in transmission of ulnar nerve motor impulses in the same hand. This suggests that findings in the median nerve suggestive of entrapment in the carpal tunnel are attributable at least in part, and perhaps entirely, to intrinsic median nerve neuropathy or myoneural dysfunction.
Databáze: OpenAIRE