1M.B. Ch. B.-H.D.R.MR. Kirkuk Genenal Hospital, Kirkuk Health Directorate, Kirkuk City, Iraq
2M.B. Ch. B.-H.D.R.MR. Azadi Teaching Hospital, Kirkuk health Directorate, Kirkuk City, Iraq
A random sample of 505 patients with DM, evaluated in a discriptive study for the evidence of MSK hand manifestations of DM, they were collected attending diabetic centre, in Sulaimani city, from Novembor 2008 to February 2009. All the patients were interviewed by using questionnaire forms. Comprehensive history, clinical examination, radiological, and laboratory studies performed to role out other causes of musculoskeletal hand manifestations. Chi-square and ANOVA procedure have used for management of statistical data. One hundred ninety six diabetic patients had MSK hand manifestations represents (39.52%), with nearly equal male and female involvement, majority of the patients with DM (84.2%) were type 2, while most of patients with hand manifestations (47.7%) were type 1 DM, (50.3%) of them had DM for less than 5 years, most of them (71.9%) use OHD for treatment of diabetes, and (51.1%) of them had uncontrolled glycemic control status. The relation of hand manifestations with gender, duration, type of treatment, and glycemic control status of DM was statistically significant (P value < 0.05). Our patients got different hand manifestations with significant association with gender, duration, type of treatment and glycemic control status of DM. Majority of the patients with MSK hand manifestations had type 1 DM. MSK hand manifestations were more in patients with uncontrolled blood glucose, with almost equal male and female involvement.
Musculoskeletal hand, Diabetes mellitus, T2DM, MSK