Slama G, Letanoux M, Thibult N, Goldgewicht C, Eschwege E, Tchobroutsky G
Diabetes Care. 1985 Jul-Aug;8(4):329-32. doi: 10.2337/diacare.8.4.329.
Limited joint mobility (LJM) has been described in juvenile diabetic patients by Rosenbloom et al.; similar abnormalities are also present in adult diabetes. This modification may be associated with a high risk of microvascular complications. We tested the use of a goniometer in measuring subclinical joint limitation in 50 adult diabetic patients without overt, i.e., clinically evident, LJM as described by these authors. This diabetic population was compared with 118 nondiabetic adult controls. We found significant changes in hand mobility between the two groups for wrist flexion and extension of the 3rd and 5th fingers (P less than 0.001). Age was correlated to wrist flexion, wrist extension, and proximal interphalangeal flexion of the little finger. Wrist extension correlated with duration of diabetes (r = -0.37, P less than 0.01). Heavy manual activities significantly limited all motions except wrist and 5th finger metacarpophalangeal flexion. Early systematic examination by goniometry may prove to be a sensitive, quantitative, and inexpensive way of detecting joint stiffness at an early stage.
罗森布鲁姆等人曾描述过青少年糖尿病患者存在关节活动受限（LJM）；成年糖尿病患者也有类似异常。这种改变可能与微血管并发症的高风险相关。我们对50名无明显（即临床可见）上述作者所描述的LJM的成年糖尿病患者，测试了使用角度计测量亚临床关节受限情况。将该糖尿病群体与118名非糖尿病成年对照者进行比较。我们发现两组之间在第3和第5指的腕关节屈伸方面手部活动有显著变化（P小于0.001）。年龄与腕关节屈曲、腕关节伸展以及小指近端指间关节屈曲相关。腕关节伸展与糖尿病病程相关（r = -0.37，P小于0.01）。繁重的体力活动显著限制了除腕关节和第5指掌指关节屈曲之外的所有活动。早期通过角度测量法进行系统检查可能是一种在早期检测关节僵硬的敏感、定量且廉价的方法。
