Abstract

Background: Diabetic patients are prone to the limited joint mobility syndrome (LJM) leading to difficult intubation. This is because of the non-enzymatic glycosylation of collagen and deposition in joints. The atlanto-occipital joint involvement restricts adequate extension to head and neck during laryngoscopy making intubation difficult. The collagen glycosylation starts at the fourth and fifth inter-phalangeal joints. The degree of inter-phalangeal involvement can be assessed by scoring the ink impression with palm of the dominant hand (palm print [PP] sign). Diabetic patients with Limited joint mobility (LJM) syndrome have difficulty in approximating their palms and not able to bend their fingers backwards (the prayer sign). Upper lip bite test was done to assess the range of the mandibular movement and the architecture of the teeth concurrently

Description

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