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Patients with type 1 diabetes often develop thickened skin and limited mobility of hand and finger joints, known as “diabetic cheiroarthropathy” (the prefix “cheiro” comes from the Greek word for “hand”). In this report from the Diabetes Control and Complications Trial and its long-term follow-up study, researchers describe the prevalence of five upper-extremity conditions they chose to classify as representing “diabetic cheiroarthropathy” in 1217 type 1 diabetic patients (mean age, 52; mean duration of diabetes, 31 years).
The five conditions and their prevalences were adhesive capsulitis of the shoulder (31%), carpal tunnel syndrome (30%), flexor tenosynovitis (28%), positive “prayer sign” (inability to press the left and right palms flat …