Vocht, D. de (Dorien) (2014) Ongediagnosticeerde diabetes bij patiënten met een trigger finger. thesis, Medicine.
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Abstract
Introduction It is well known that in patients with diabetes there is a higher prevalence of trigger finger. On the other hand, it is also known that in the average population there is a certain prevalence of unknown and undetected (pre-)diabetes. It was our hypothesis that in a general population of patients presenting with a trigger finger and no known diabetes, a higher prevalence of undetected (pre-)diabetes would be present. If so, it might be advisable to screen all trigger finger patients for the possible existence of unknown and undetected (pre-)diabetes. In this pilot study we determined the prevalence of unknown (pre-)diabetes in patients previously treated for trigger finger. The secondary aim was to determine whether there was a relationship between the existence of diabetes and treatment outcome. Methods In this retrospective case-control study, 144 patients were included who had been treated for trigger finger in 2012. Patients were asked if they were known with having diabetes and those patients with no known diabetes were visited in order to determine fasting blood glucose, after which the prevalence of unknown diabetes and prediabetes could be calculated. In order to determine treatment the outcome of steroid injection, surgical release and a combination of these therapies, all patients were asked to fill out questionnaires: the QuickDASH, patient satisfaction, a visual analog scale for pain, the presence of a click and whether the pulp to palm distance was more than 0 mm. Results The prevalence of unknown diabetes in this group of patients with trigger finger was not higher than in the general population. As expected, the prevalence of known diabetes was much higher in trigger finger patients (p < 0,001) than in the general population and for men this was also higher than previously reported in trigger finger patients. When comparing non-diabetics and diabetics, the former group had a significant better outcome on overall treatment (P<0,036). Within the steroid injection group, non diabetics had better function (p<0,040) and were more satisfied with their treatment (p<0,045). Conclusions There is no increased prevalence of unknown diabetes or prediabetes in an average population of patients treated for trigger finger. Although on average the treatment outcome in diabetics seemed slightly worse than in non-diabetics, only a few results showed significant differences.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Nijholt, Dr. I.M. |
| Supervisor name: | Ritt, Prof. Dr. M.J.P.F. and VUmc, Amsterdam and Plastische-, reconstructieve- en handchirurgie |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:42 |
| Last Modified: | 25 Jun 2020 10:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/344 |
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