CASE REPORT
Year : 2020  |  Volume : 22  |  Issue : 2  |  Page : 156-159

Tropical diabetic hand syndrome: case report of successfully salvaged threatened dominant hand


Department of General Surgery, Navy General Hospital, Colombo; Department of Surgery, General Sir John Kotelawela Defence University, Ratmalana, Sri Lanka

Correspondence Address:
Keerthi Rajapaksha
Raddoluwa, Seeduwa
Sri Lanka
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jomt.jomt_20_20

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Tropical diabetic hand syndrome (TDHS) is a less well-recognized complication of diabetes. It is characterized by cellulitis of hand and ends up with limb threatening significant tissue loss, sepsis and in occasion death. When the joint capsule and tendons are exposed in TDHS the digits and the limb and function of the hand are threatened. Loss of thumb of the dominant hand leads to devastating disability. The current case describes successfully managed case of TDHS with threatened thumb and function due to exposed first metacarpophalangeal joint and extensor tendons of the dominant hand.


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