Overall, management is more challenging and interventions more complex and less successful in individuals with hand syndromes and diabetes. Multiple fingers can
develop triggering and outcomes from corticosteroid injection are poorer. Skin thickening and neuropathy are thought to contribute to the associated stiffness and clumsiness. Excision of the ulnar slip of the flexor digitorum superficialis has been recommended as an additional procedure to A1 pulley release to improve tendon excursion and limited joint mobility has complicated recovery following fasciectomy for Dupuytren's contracture. Many uncertainties remain regarding which factors may be responsible for differences in outcomes for these hand syndromes, strategies for prevention or more successful intervention