Hand Function pp 201-207 | Cite as

Hand Function in Metabolic Disorders: Hemodialysis, Diabetes Mellitus, and Gout

  • Feray SoyupekEmail author
  • Selami Akkuş


Metabolic disease including chronic renal failure, gout, and diabetes mellitus impair hand function via occurring musculoskeletal abnormalities and hemodynamic, vascular, or neurological dysfunctions. Carpal tunnel syndrome (CTS), destructive arthropathy, bone cyst, bone erosions, and tendon abnormalities are seen in patients receiving hemodialysis. Diabetes mellitus is associated with an increased incidence of functional disability. The complications of diabetes mellitus seen in the hand are diabetic stiff hand syndrome, Dupuytren’s disease, CTS, trigger finger, Complex Regional Pain Syndrome type-1, and neuropathy. Hand involvements of the patients with gout are monosodium urate crystal deposition in tendon, joints, and nerve. Tophi lead to destructive arthropathy and present on the fingers and the volar surface of the hands. Muscle strength test, range of motion evaluation, hand dexterity, and daily activity tests could be assessed in those patients. In this chapter, the musculoskeletal and the other involvements of the hand were mentioned. Additionally, the tests evaluating hand functions and index which were used for evaluating hand disability were reviewed.


Carpal Tunnel Syndrome Tendon Rupture Handgrip Strength Hand Function Pinch Strength 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationSuleyman Demirel University, School of MedicineIspartaTurkey
  2. 2.Department of Physical Medicine and RehabilitationSchool of Medicine, Yildirim Beyazit UniversityAnkaraTurkey

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