Koh S, Nakamura S, Hattori T, Hirata H
Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Department of Orthopedic Surgery, Kakegawa City General Hospital, Kakegawa, Japan.
J Hand Surg Eur Vol. 2010 May;35(4):302-5. doi: 10.1177/1753193409341103. Epub 2009 Aug 17.
The purpose of this study was to investigate the incidence and characteristics of trigger digits in patients with diabetes. A questionnaire about trigger digit was completed by 544 patients with diabetes. Ten percent of the patients had a history of trigger digits and 4% had multiple digit involvement. The risk was significantly higher in insulin-dependent patients. The average duration of diabetes was significantly longer in the multiple digit group. Independently, the medical records of 132 trigger digit patients who underwent surgery were reviewed. Twenty-seven patients had diabetes, and 62 patients had multiple digit involvement. Involvement of more than three digits was significantly related to co-existing diabetes. In patients with diabetes, the incidence of trigger digits was about four times higher than in the general population. Screening for diabetes may be warranted in patients with involvement of more than three digits.
本研究的目的是调查糖尿病患者扳机指的发病率及特征。544例糖尿病患者完成了一份关于扳机指的问卷。10%的患者有扳机指病史，4%的患者有多指受累。胰岛素依赖型患者的风险显著更高。多指组患者的糖尿病平均病程显著更长。另外，对132例行手术治疗的扳机指患者的病历进行了回顾。27例患者患有糖尿病，62例患者有多指受累。超过三个手指受累与并存糖尿病显著相关。在糖尿病患者中，扳机指的发病率比普通人群高约四倍。对于超过三个手指受累的患者，可能有必要筛查糖尿病。
