Upper extremity complications in patients with chronic renal failure receiving haemodialysis.
Limited data are available about disability associated with upper extremity complications in patients who receive haemodialysis for end-stage renal disease. In this study of 123 patients receiving haemodialysis, the mean Disabilities of the Arm, Shoulder and Hand (DASH) score was 31 ± 22 points, indicating markedly greater disability than in a normal population. Dupuytren's contracture was the most frequent deformity. Brachial, radial and ulnar pulses were present in most upper limbs, but 14 (14%) of 102 patients had poor arterial perfusion pressures. Diabetic patients had residual or complete loss of protective sensation more frequently than nondiabetic patients. Motor testing with the index finger abduction and fifth finger flexion tests showed a significantly greater frequency of weakness in diabetic than nondiabetic patients. In summary, upper extremity disability was noted in haemodialysis patients, including loss of protective sensation and motor strength, both in diabetic and nondiabetic subjects.
Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Scott
S
Hurton
John M
JM
Embil
Andrew
A
Reda
Susan
S
Smallwood
Cathy
C
Wall
Lily
L
Thomson
James
J
Zacharias
Mario
M
Dascal
Elly
E
Trepman
Joshua
J
Koulack
D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D001794:Blood Pressure; D003928:Diabetic Nephropathies / Q000628:therapy; D005260:Female; D006227:Hand Deformities, Acquired / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011674:Pulse; D006435:Renal Dialysis / Q000009:adverse effects*; D012678:Sensation Disorders / Q000209:etiology*; D034941:Upper Extremity / Q000098:blood supply / Q000294:innervation