Scientific articleThe Association of Hemoglobin A1c With the Prevalence of Stenosing Flexor Tenosynovitis
Section snippets
Materials and Methods
We obtained institutional review board approval to search the Kaiser Permanente Southern California medical record and diabetic registry databases to identify patients age 18 years and older, with continuous active membership between January 1 and December 31, 2008, who were diagnosed with insulin-dependent or non–insulin-dependent diabetes mellitus before December 31, 2007. Kaiser Permanente Southern California is a not-for-profit community service health care organization providing care to
Results
We identified 259,927 patients with diabetes mellitus who met our inclusion criteria. Flexor tenosynovitis was diagnosed in 3,952 of these patients. From this, we calculated the period prevalence of FTS in the diabetic population to be 15.2/1,000 people (1.5%). Electronic records for the 2008 calendar year were available for 2,129,184 nondiabetic patients greater than 18 years of age. Review of ICD-9 coding identified 15,839 nondiabetic patients diagnosed with FTS. This yields a period
Discussion
Notta,17 a French physician, described stenosing FTS in 1850, and it remains a common tendinopathy of the hand regularly encountered by primary care physicians, general orthopedists, and hand surgeons. The etiology of trigger finger is multifactorial, with localized repetitive friction and systemic disease contributing to its development.1, 18, 19 A considerable body of literature has been published regarding the relationship between FTS and systemic disease, most of which concerns diabetes
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2022, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :In this context, fibrous hypertrophy or sterile inflammatory changes in the flexor tendon synovium at the A1 pulley can lead to TF, while hypertrophy of the flexor tendon synovium at the wrist can lead to CTS.11 The prevalence of TF in the general population is only 1–2%, although it reaches 5–20% among patients with diabetes.12-14 Previous reports have suggested that age and diabetes duration are related to these changes in hand function,1,15 although the factors predicting the development of diabetic hand (DH) remain unclear.
Management of Diabetic Trigger Finger
2019, Journal of Hand SurgeryCitation Excerpt :Diabetics are more susceptible to developing trigger finger.1 Estimates of the prevalence of trigger finger in the diabetic population range from 5% to 20% compared with 1% to 2% in the general population.2,3 The lifetime incidence of trigger finger in the general population is between 2% and 3%, whereas that in the diabetic population is 10%.4
The incidence of trigger digit after carpal tunnel release in diabetic and nondiabetic patients
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The authors acknowledge Tony S. Yiu and Su-Jau Yang for their contribution to data collection and statistical analysis.
N.G.H. received support from Kaiser Foundation Healthplans.
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.