Stiff Hand Syndrome (Diabetic Cheiroarthropathy)It is important to diagnose them as their presence has been found to correlate with chronic microvascular complications of diabetes especially retinopathy. Diabetes mellitus is associated with a constellation of debilitating musculoskeletal MSK disorders affecting hand, commonly referred to as diabetic hand syndrome. A year-old male patient, with type 1 diabetes mellitus of 15 years duration, on twice daily premixed insulin and poor glycemic control glycated hemoglobin of He had bilateral proliferative diabetic retinopathy PDR , distal symmetrical sensorimotor polyneuropathy DSSN , autonomic neuropathy and nephrotic range proteinuria with new onset hypertension without azotemia. Positive prayer sign with fixed flexion deformity at proximal interphalangeal joints suggestive of Limited Joint Mobility. Furthermore, there was no finding suggestive of adhesive capsulitis of the shoulders.
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The Diabetes Forum - find support, ask questions and share your experiences with , people. Diabetic stiff hand syndrome, also known as diabetic cheiroarthropathy, is a disorder in which finger movement becomes limited as the hands become waxy and thickened. Both people with type 1 diabetes and type 2 diabetes can be affected by diabetic stiff hand syndrome, but optimising glycemic control and physical therapy can slow down the development of the condition. Rachel Peterson Kim, MD et al report that diabetic stiff hand syndrome is found in eight to 50 per cent of patients with type 1 diabetes, but that type 2s can also develop the disorder. Prevalence is reportedly increased as patients have diabetes for longer, while it can also be more common in patients with diabetic neuropathy. Diabetic stiff hand syndrome is associated with being a predictor for other diabetes-related complications.