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Orthopaedic Neurological Diseases in Patient with Diabetes Tadahiro Natsume 1 , Hitoshi Hirata 2 1Department of Orthopaedic Surgery, Kariya Toyota General Hospital 2Department of Hand Surgery, Nagoya University Graduate School of Medicine Keyword: 糖尿病 , 絞扼性神経障害 , 単神経障害 , 手根管症候群 , 後縦靱帯骨化症 , diabetes mellitus , entrapment neuropathy , focal neuropathy , carpal tunnel syndrome , ossification of posterior longitudinal ligament pp.149-158
Published Date 2014/2/1
DOI https://doi.org/10.11477/mf.1416101715
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Abstract

Individuals with diabetes are at a greater risk for microvascular complications, such as retinopathy, neuropathy, and nephropathy, than are individuals without diabetes. Diabetic neuropathies are complex heterogeneous disorders that include both focal neuropathies and diffuse polyneuropathy.

Entrapment neuropathy is an example of a focal neuropathy, while distal symmetric polyneuropathy is the most common type of diffuse polyneuropathy.

Entrapment neuropathies are highly prevalent in the diabetic population, but they develop insidiously and progressively, making it difficult to determine their true prevalence. Entrapment neuropathies are suspected to be a more common complication of diabetes than is polyneuropathy. For example, carpal tunnel syndrome (CTS)―one of the most common entrapment neuropathies encountered in patients with diabetes―results from median nerve compression, and has been shown to occur three times more frequently in a diabetic population than in a normal healthy population. Entrapment neuropathies should be actively screened for in patients showing the signs and symptoms of neuropathy, because such patients may require surgical treatment.


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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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