{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:55:17Z","timestamp":1790657717522,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Upper extremity conditions such as carpal tunnel syndrome (CTS) are more prevalent in patients with diabetes mellitus (DM) than in the general population. This prospective study aimed to determine the viability of DM screening for patients presenting with upper extremity musculoskeletal disorders in an orthopaedic hand clinic and to inform future testing criteria for orthopaedic surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with a diagnosis of CTS, trigger finger, Dupuytren's contracture, and\/or De Quervain's disease were prospectively enroled. Eighty\u2010four patients (60.7% female, 60.0% White) underwent point\u2010of\u2010care haemoglobin A1c (HbA1c) fingerstick testing at their appointment at the orthopaedic surgeon's office. Patient demographics and disease characteristics (symptom laterality, diagnosis of upper extremity pathologies) were collected and compared between patients with HbA1c within normal limits (HbA1c\u00a0&lt;\u00a05.7) and in the range of prediabetes or type 2 DM (HbA1c\u00a0\u2265\u00a05.7).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 84 patients, 58.3% had HbA1c in the range of prediabetes and 4.8% in the T2DM range. The most prevalent upper extremity condition was trigger finger (78.6%), and 62.1% of patients presenting with trigger finger had elevated HbA1c. Among patients with prediabetes\/T2DM, 43.4% did not have a primary care provider. Patients with elevated HbA1c were significantly more likely to have unilateral symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03) and be female (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hand surgeons can successfully identify patients with elevated HbA1c, particularly in the range of prediabetes where the disease state is more reversible. Point\u2010of\u2010care HbA1c testing could be incorporated into hand surgery practices as a low\u2010cost and rapid intervention to optimise outcomes of surgery and facilitate earlier treatment of hyperglycemia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70256","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:07:00Z","timestamp":1786939620000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Occurrence of Undiagnosed Diabetes Mellitus With Musculoskeletal Disorders of the Upper Extremity: Prospective Screening With Point\u2010of\u2010Care Haemoglobin A1c Fingerstick Testing"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9794-9878","authenticated-orcid":false,"given":"Chloe","family":"Heiting","sequence":"first","affiliation":[{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell  Hempstead New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine Baylor","family":"Wickes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sruthi","family":"Katakam","sequence":"additional","affiliation":[{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell  Hempstead New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Herrera","sequence":"additional","affiliation":[{"name":"Rutgers New Jersey Medical School  Newark New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Li","sequence":"additional","affiliation":[{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell  Hempstead New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Intravia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John E.","family":"Nolan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate W.","family":"Nellans","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Long Island Jewish Medical Center  New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.2.153"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00230"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.10.002"},{"key":"e_1_2_13_5_1","unstructured":"CDC.2024. \u201cNational Diabetes Statistics Report.\u201dhttps:\/\/www.cdc.gov\/diabetes\/php\/data\u2010research\/index.html."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201023\u201000593"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2022.168"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2020.01582"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e12615"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573403X1604201229115531"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.01.038"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010023\u201005891\u2010x"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447231219522"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193409341103"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010199311000\u201000002"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcdhc.2021.708721"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573399812666151016101622"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178\u2010007\u20109012\u20101"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)31561\u20100"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1006\/enrs.2000.4042"},{"key":"e_1_2_13_21_1","unstructured":"NIDDK.2022. \u201cNational Institute of Diabetes and Digestive and Kidney Disease. Risk Factors for Type 2 Diabetes.\u201dhttps:\/\/www.niddk.nih.gov\/health\u2010information\/diabetes\/overview\/risk\u2010factors\u2010type\u20102\u2010diabetes#:~:text=You%20can%20develop%20type%202 that%20might%20increase%20your%20risk."},{"key":"e_1_2_13_22_1","unstructured":"NYSDH.2021. \u201cPercentage of Adults With Diagnosed Diabetes by County New York State BRFSS 2018.\u201dhttps:\/\/www.health.ny.gov\/statistics\/prevention\/injury_prevention\/information_for_action\/docs\/2021\u201001_ifa_report.pdf."},{"key":"e_1_2_13_23_1","volume-title":"Health Care Data","author":"NYSDH","year":"2022"},{"key":"e_1_2_13_24_1","unstructured":"NYSDH.2023. \u201cNew York State Department of Health. 2021 NYS Behavioral Risk Factor Surveilance System: Prevalence of Diagnosed Diabetes New York State Adults by County BRFSS 2021.\u201dhttps:\/\/www.health.ny.gov\/statistics\/prevention\/injury_prevention\/information_for_action\/docs\/2023\u201010_ifa_report.pdf."},{"key":"e_1_2_13_25_1","article-title":"New York State Department of Health","author":"NYSDH","year":"2024","journal-title":"Diabetes"},{"key":"e_1_2_13_26_1","unstructured":"NYSDH.2026. \u201cQueens County Health Indicators by Race and Ethnicity 2021\u20132023.\u201dhttps:\/\/health.ny.gov\/community\/health_equity\/reports\/county\/queens.htm#:~:text=Percentage%20of%20population%20with%20no%20health%20insurance%20(2020%2D2024)~%2C%204.1%25%2C%205.9%25%2C%207.3&text=These%20two%20are%20not%20comparable%2C%20so%20ED%20and%20hospitalization%20data%20for%202016%2Dand%2D."},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.25.3.565"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2015.0181"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.37532\/fmcp.2019.16(6).1389\u20101391"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP15866.OR"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.5152\/eurjrheum.2018.18044"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.01.014"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.06.007"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.2337\/diaspect.28.3.201"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.4103\/1947\u20102714.93879"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.08.020"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.13580"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70256","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/msc.70256","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:05:21Z","timestamp":1790654721000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,16]]},"references-count":36,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/msc.70256"],"URL":"https:\/\/doi.org\/10.1002\/msc.70256","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,16]]},"assertion":[{"value":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70256"}}