Question
An old female Diabetic patient came to you and wished you Namaste. While doing namaste you as a doctor observes her hand. Identify the deformity as shown in the image:
| A. |
Flexor tendon tenosynovitis
|
| B. |
Amyotrophy
|
| C. |
Chieroarthropathy
|
| D. |
Dupuytren’s contracture
|
Show Answer
|
Correct Answer � C
Explanation
|
|
Answer C) Chieroarthropathy
- The “prayer sign” indicates the presence of diabetic cheiroarthropathy.
- It is characterized by patients’ inability to completely close gaps between opposed palms and fingers when pressing their hands together.
- Diabetic amyotrophy- Nerve disorder complication of diabetes mellitus. It affects the thighs, hips, buttocks, and legs, causing pain and muscle wasting.
Table 1.musculoskeletal and rheumatological complications of diabets
conditions affecting the hands
- diabetic cheiroarthropathy(stiff
- hand syndrome of syndrome of limited joint mobility)
- flexor tenosynovitis (trigger finger)
- dupuytren’s contracture
- carpal tunnel syndrome
conditions affecting the shoulders
- adhesiv capsulities (frozen shoulder )
- calcife periarthritis
- reflex sympathetic dystrophy
conditions affecting the feet
- diabetic asteoarthropathy (chacot
- or nuropathic arthropathy )
conditions affecting the muscles
- diabetic muscle infarction
conditions affecting the skeleton
- diffuse idiopathic skeletal hyper-
- ostosis(DISH)
