Musculoskeletal Disorders in Patients with Diabetes Mellitus: A Cross-Sectional Study

Majjad, A.; Errahali, Y.; Toufik, Hamza; Djossou, Julien; Ghassem, Mohamed Ahmed; Kasouati, Jalal; Maghraoui, A. El

doi:10.1155/2018/3839872

Cited by 36 publications

(32 citation statements)

References 24 publications

(27 reference statements)

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“…These manifestations include but not limited to, adhesive capsulitis (frozen shoulder), shoulder hand syndrome (SHS), diabetic hand syndrome (DHS), diffuse idiopathic skeletal hyperostosis (DISH), Dupuytren's contracture (DC) and neuroarthropathy. [ 2 5 6 7 ] Deshmukh DP et al ., conducted a study in 2017 in India found that 42% of diabetic patients included in the study had MSK manifestation. Adhesive capsulitis, tendonitis, limited joint mobility and diabetic chiero-arthropathy, were commonest MSK manifestations observed.…”

Section: Introductionmentioning

confidence: 99%

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Musculoskeletal manifestations among diabetic patients in Saudi Arabia

AlOayan

Zawawi

2020

J Family Med Prim Care

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Context: Diabetes mellitus (DM) is one of the most common diseases worldwide. Patients with DM are prone to develop multiple musculoskeletal (MSK) manifestations, which may lead to disability and an impact on patients’ quality of life. These manifestations include but not limited to, adhesive capsulitis, shoulder hand syndrome, diabetic hand syndrome, diffuse idiopathic skeletal hyperostosis, Dupuytren's contracture. Aims: The aim of this study is to assess the prevalence of MSK manifestations in diabetic patients in Saudi Arabia. Settings and Design: The study was carried out in NGHA hospital and PHC in Saudi Arabia. Methods and Materials: This is a retrospective study carried out between 2015 and 2019 where all patients with DM type II between the age of 18 and 65 and were diagnosed with MSK manifestations included in the study. Statistical Analysis Used: Statistical Package for the Social Sciences (IBM-SPSS) software (Version 23). Results: A total of 208 patients were found to have MSK manifestations. The average age of patients was 53 years old ranging from (31-63). The mean reading of A1C was 8%. A total of 34.1% were controlled and 65.9% were uncontrolled. Carpal tunnel syndrome (CTS) was found in 10%. Adhesive capsulitis in 2.4%. Septic arthritis in 1%. Trigger finger was found in 7.2%. Osteomyelitis was found in 0.5%. Plantar fasciitis was found in 4.8%. Osteoarthritis (OA) was found in 149 subjects (71.3%). Two subjects had ankle OA, one hand OA, nine shoulder OA, one hip arthritis. The rest had knee OA. Rotator cuff tendonitis was found in 1%. No significant correlation between age, A1c and all the MSK manifestations that were mentioned above ( P value >0.05). Conclusions: MSK manifestations are common among diabetic patients. OA was the most frequently seen disorder. Physicians should be aware of the high prevalence and the huge impact on patients when treating patients with type II DM.

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Section: Introductionmentioning

confidence: 99%

“…The most common MSK manifestation was osteoarthritis (OA) and hand manifestations including carpel tunnel syndrome, trigger finger and Dupuytren's contracture. [ 7 8 9 ]…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal manifestations among diabetic patients in Saudi Arabia

AlOayan

Zawawi

2020

J Family Med Prim Care

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“…It is a common, serious, and costly public health problem worldwide [2] and causes chronic damage to many organs and systems [3]; one of these complications occurs in the musculoskeletal system and can cause pain, dysfunction, and disability in both types of diabetes [2,4,5]. The conditions include adhesive capsulitis of the shoulder, limited joint mobility (diabetic hand syndrome or cheiropathy), tendinopathy, Dupuytren's contracture, Charcot's foot, carpal tunnel syndrome (CTS), osteoarthritis, and other rare complications [2]. CTS is usually related to compression of the median nerve within the carpal canal [6].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Sonographic Evaluation of the Median Nerve and Fourth Flexor Tendon Between Asymptomatic Subjects With and Without Diabetes

et al. 2019

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Diabetes mellitus (DM) is a common metabolic disease associated with carpal tunnel syndrome (CTS) and tendinopathy. This study aimed to assess the ultrasonographic (US) parameters of the flexor tendon and median nerve in asymptomatic subjects with diabetes in comparison with controls without diabetes. In this study, 22 DM and 22 non-DM subjects with no symptoms or manipulations in non-dominant hands and wrists were assessed. Ultrasound evaluations of the length, width, cross-sectional area, and circumference of the fourth flexor tendon and the median nerve were performed in the two groups. There was no statistically significant difference in age (P value= 0.473), gender (P value= 0.364), or wrist circumference (P value= 0.1921) between the groups. This study showed no significant difference between the two groups in median nerve length (P value= 0.35), width (P value= 0.17), cross-sectional circumference (P value= 0.23), or cross-sectional area (P value= 0.16). Also, a comparison of the sonographic data of the fourth flexor tendon between the two groups presented no significant difference in length (P value = 0.68), width (P value= 0.80), cross-sectional circumference (P value= 0.70), or cross-sectional area (P value= 0.80). In conclusion, data from the present study showed that sonographic values of the median nerve and fourth flexor tendon in asymptomatic subjects with DM did not differ significantly with those of non-diabetics. These findings demonstrate that still more case studies and more evaluations are required to validate the applicability of ultrasonography in the prediction of carpal tunnel syndrome and tendinopathy in diabetic patients.

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“…It has been estimated that 171 million of world population were affected by diabetes in the year of 2000 (2), 285 million in 2010 (3), 366 million in 2011 (4), 382 million in 2013 (5), 415 million in 2015 (6) and 451 million in 2017 (7). The prevalence of diabetes around the globe has been projected as 552 million by 2030 (8), 592 million by 2035 (9), 642 million by 2040 (10) and 693 million by 2045 (11). DM is sorted mainly as type 1 DM which is insulindependent (IDDM) and type 2 DM, the non-insulin dependent (NIDDM).…”

Section: Introductionmentioning

confidence: 99%