Articular and abarticular manifestations in type 2 diabetes mellitus

Abstract

Objective: Diabetes mellitus (DM), a worldwide high-prevalence disease, is associated with a large variety of rheumatic manifestations.It affects the connective tissues in many ways and causes alterations in the periarticular and the musculoskeletal systems. In most cases, these manifestations are associated with functional disability and pain, affecting the quality of life of the diabetic patient. The aim of our study is to review the different articular and abarticular manifestations in diabetic patients and the associated factors of these rheumatic manifestations.Material and Methods: A cross-sectional study that includes all patients suffering from type 2 DM who present with articular or abarticular manifestations.Results: We included 116 diabetic patients presenting with articular or abarticular manifestations. Our study showed four important findings. First, a large variety of articular and abarticular manifestations were present in patients with type 2 DM. Second, osteoarthritis (OA) of the knee was the most frequent articular manifestations. It was seen in 49% of our patients. Third, the most common manifestations in diabetic Moroccan patients were carpal tunnel syndrome (CTS), adhesive capsulitis of the shoulder, and diabetic cheiroarthropathy (29%, 23%, and 16%, respectively). Fourth, there was a significant association between vascular complications and the development of articular and abarticular manifestations. Conclusion:This study shows that the articular and abarticular manifestations in diabetic Moroccan patients are dominated by CTS, adhesive capsulitis of the shoulder, and diabetic cheiroarthropathy, with a significant association between vascular complications and the development of some of these manifestations.

What Is the Diagnosis in Patients with Type 2 Diabetes Who Have a Painful Shoulder? Results from a Prospective Cross-Sectional Study

“…Overall, polyneuropathy on a clinical and subclinical level was present in 39% and 56% of the patients, respectively. This is broadly consistent with a study showing that 38% of patients with T2DM and musculoskeletal disorders had polyneuropathy [ 9 ]. We do know that diabetic neuropathy increases the risk of developing adhesive capsulitis of the shoulder, a glenohumeral disorder [ 9 ].…”

“…This is broadly consistent with a study showing that 38% of patients with T2DM and musculoskeletal disorders had polyneuropathy [9]. We do know that diabetic neuropathy increases the risk of developing adhesive capsulitis of the shoulder, a glenohumeral disorder [9]. In our study, any form of polyneuropathy was most prevalent in patients diagnosed with a glenohumeral disorder.…”

“…The prevalence of adhesive capsulitis ranges from 4 to 30% in patients with diabetes, compared to up to 10% in patients without diabetes [ 1 , 2 , 3 , 4 ], while rotator cuff tears are also more frequently observed in patients with diabetes [ 5 , 6 , 7 , 8 ]. Lesser known is that adhesive capsulitis is also associated with diabetic neuropathy [ 9 ].…”

The Commonly Encountered Rheumatological Manifestations amongst Patients with Type 2 Diabetes

“…This is comparable to studies done by Cagliero et al 36 and other studies shown in the table. Flexor tenosynovitis and CTS were found to be fairly common among diabetics as shown in present study and similar findings were noted in earlier studies done by Cagliero et al 12 , Douloumpakas et al 8 and Abourazzak et al 10 The mean values of age of patients with T2DM in the various studies conducted by, Abourazzak et al 10…”

Awareness of limited joint mobility in type 2 diabetes in general practice in the Netherlands: an online questionnaire survey

“…There is no clear definition for LJM. Some authors use the term as a synonym for stiff hand syndrome (cheiroarthropathy), whilst others use it as an umbrella term for a variety of disorders [5][6][7][8][9][10][11][12]. In this article, LJM is used as an umbrella term for specific musculoskeletal disorders of the upper extremities.…”