Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus

Thomas, Simon; McDougall, Claire; Brown, Iain; Jaberoo, Marie-Claire; Stearns, Adam T.; Ashraf, Raihan; Fisher, Miles; Kelly, I.G.

doi:10.1016/j.jse.2007.02.133

Cited by 167 publications

(122 citation statements)

References 17 publications

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“…Over the past years, it has been shown that the most important predictor of the development of rheumatic complications in diabetes is blood glucose control (17)(18)(19)(20)(21). In our study, there was no significant association between blood glucose control and articular or abarticular manifestations.…”

Section: Figure 1 Prevalence Of Articular and Abarticular Manifestatcontrasting

confidence: 66%

Articular and abarticular manifestations in type 2 diabetes mellitus

et al. 2014

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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.

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Section: Figure 1 Prevalence Of Articular and Abarticular Manifestatcontrasting

confidence: 66%

Articular and abarticular manifestations in type 2 diabetes mellitus

et al. 2014

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“…In addition understanding whether certain endocrine disease occurs more often in rheumatologic illness will enable the clinician to investigate their occurrence early, leading to earlier intervention and resulting in decreased morbidity from these concomitant illnesses. [24,25,26,27,28,29] Our study does show that the prevalence of musculoskeletal manifestations in diabetes mellitus type 2 is quite high in our region of the world. Elderly people are a growing segment of the population in our part of the world, and noninsulin-dependent type 2 diabetes mellitus is an age-related disease.…”

Section: Discussionmentioning

confidence: 58%

The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population

Bhat

Dhar

Dar

et al. 2016

IJHS

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Objectives: Diabetes mellitus (DM), is affecting an ever increasing number of people worldwide. Diabetes is associated with several musculoskeletal manifestations. These may involve, the upper as well as the lower limb. We conducted this study to find out the prevalence of musculoskeletal problems in type 2 diabetics in the Kashmiri population. Methodology:The study was conducted on 403 patients with diabetes and 300 controls. All patients underwent screening for any musculoskeletal abnormalities. The patients with musculoskeletal abnormalities were further assessed to find the exact diagnosis according to predefined criteria. Results:The hand was involved in 80 patients [19.8%] in the diabetic group and 15 (5%) patients of the control group. The elbow was affected in 56 patients [14%] in the diabetic group and 24 patients [5.9%] in the non-diabetic group. The shoulder involvement was diagnosed in 61 patients [15%] on the diabetic cohort and 15 patients in the non-diabetic cohort. All the upper limb figures showed a statistically significant difference i.e. P value <0.05. Conclusion:The prevalence of musculoskeletal complications in type 2 diabetics in Kashmir is quite high.

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“…18 In addition, increased glycosylation of collagen protein and increased formation of abnormal glycation end products and their subsequent accumulation was found to have detrimental effect on a number of cellular and extracellular processes that might fascilitate adhesion and fibrosis. 19 Patients with diabetes often present with fibrosis elsewhere (i.e., Dupuytren's contracture).…”

mentioning

confidence: 99%

Presentation of frozen shoulder among diabetic and non-diabetic patients

Uddin

Khan

Haig

et al. 2014

Journal of Clinical Orthopaedics and Trauma

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SPADI Shoulder pain a b s t r a c tObjective: The literature is inconsistent regarding the level of pain and disability in frozen shoulder patients with or without diabetes mellitus. The aim of this study is to evaluate some demographic features of frozen shoulder patients and to look into the disparity of information by comparing the level of pain and disability due to frozen shoulder between diabetic and non-diabetic people.Design: This is a prospective comparative study. People with frozen shoulder attending an outpatient department were selected by consecutive sampling. Disability levels were assessed by the Shoulder Pain & Disability Index (SPADI). Means of pain and disability scores were compared using unpaired t-test.Results: Among 140 persons with shoulder pain 99 (71.4%) had frozen shoulder. From the participating 40 frozen shoulder patients, 26 (65%) were males and 14 (35%) were females.Seventeen participants (42.5%) were diabetic, two (5%) had impaired glucose tolerance and 21 (52.5%) patients were non-diabetic. Mean disability scores (SPADI) were 51 ± 15.5 in diabetic and 57 ± 16 in non-diabetic persons. The differences in pain and disability level were not statistically significance (respectively, p ¼ 0.24 and p ¼ 0.13 at 95% confidence interval).Conclusions: No difference was found in level of pain and disability level between frozen shoulder patients with and without diabetes.

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Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus

Cited by 167 publications

References 17 publications

Articular and abarticular manifestations in type 2 diabetes mellitus

Articular and abarticular manifestations in type 2 diabetes mellitus

The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population

Presentation of frozen shoulder among diabetic and non-diabetic patients

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