Prevalence of Upper and Lower Extremity Tinel Signs in Diabetics: Crosssectional Study from a United States, Urban Hospital-based Population
2013; OMICS Publishing Group; Volume: 04; Issue: 03 Linguagem: Inglês
10.4172/2155-6156.1000245
ISSN2155-6156
Autores Tópico(s)Orthopedic Surgery and Rehabilitation
ResumoAn IRB-approved, prospective, cross-sectional study was done of a series of consecutive patients with diabetes having either an initial office visit or a follow-up visit with the endocrinology service at a teaching hospital located in the northeastern United States.Inclusion criteria included all consecutive patients with a diagnosis of diabetes, regardless of age or duration of diabetes.After the patient consented to the study, they were initially seen by the senior endocrinologist followed by the hand surgeon.Exclusion criteria included the presence of confounding causes of neuropathy, such as hypothyroidism, hyperthyroidism, active alcoholism, vitamin deficiency, malnutrition, dementia, prior peripheral nerve surgery (i.e.those decompressed sites were excluded), amputation, stroke and history of small-fiber neuropathy.Patients with abnormal fasting glucose or impaired glucose during the oral glucose tolerance test were not included in the study.The presence of a Tinel Sign was determined by a fellowshiptrained Hand Surgeon.The flexed middle finger was used to percuss the skin over the known anatomic site of chronic nerve compression.A reflex hammer was not used.After percussion, a positive Tinel Sign was defined as a distally radiating tingling or buzzing phenomena perceived by the patient.In the lower extremity, pain with palpation
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