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The presence of limited joint mobility is significantly associated with multiple digit involvement by stenosing flexor tenosynovitis in diabetics
Journal of Rheumatology, 08/14/09

Kameyama M et al. – Study reports that limited joint mobility (LJM) in diabetics is closely associated with stenosing flexor tenosynovitis (SFTS) involving multiple digits.

• Main objectives of this study were to:
  • Examine the magnitude of the tendency for involvement of more digits by SFTS in diabetic pts vs nondiabetic, and
  • Clarify the factors influencing multiple digit involvement by SFTS in diabetics
• 302 diabetic pts with SFTS and 235 nondiabetic pts with SFTS
• Total number of digits exhibiting SFTS within the 1-year period following the initial visit was investigated in a prospective manner
• Difference in the frequency of multiple digit involvement by SFTS between diabetic and nondiabetic pts was compared
• Multiple regression analysis to examine the contribution of independent variables to no. of digits affected by SFTS in diabetic pts:
  • Age, sex, type of diabetes, estimated duration of diabetes,
  • HbA_1c values, carpal tunnel syndrome, Dupuytren contracture,
  • limited joint mobility (LJM), de Quervain's disease,
  • diabetic retinopathy, diabetic nephropathy, and dyslipidemia

• Diabetic pts showed a higher prevalence of multiple digit involvement than nondiabetic
• Multiple regression analysis in diabetic pts revealed that the presence of LJM was positively associated with the prevalence of multiple digit involvement

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