Adhesive capsulitis of the shoulder and diabetes: a meta-analysis of prevalence

Abstract

Background: adhesive capsulitis (AC) results in progressive painful restriction in range of movement and can reduce function and quality of life. Whilst it has been associated with diabetes mellitus (DM), there is considerable variation in the reported prevalence of AC in the diabetic population. The aim of this study is to determine through meta-analysis the prevalence of AC in DM and examine whether it is influenced by type of DM or insulin therapy. We also aim to further establish the prevalence of DM in patients presenting with AC. Methods: we conducted a literature search for terms regarding AC and DM on Embase and Pubmed NCBI. Results: of 5411 articles identified, 18 were selected. Meta-analysis showed that patients with DM were 5 (95% CI 3.2-7.7) times more likely than controls to have AC. The overall prevalence of AC in DM was estimated at 13.4% (95% CI 10.2-17.2%). Comparison of prevalence in patients on insulin vs other treatments showed no significant difference between the two. Meta-analysis esti-mated the prevalence of DM in AC at 30% (95% CI 24-37%). Conclusion: to our knowledge this is the first meta-analysis to estimate the overall prevalence of diabetes in a population with AC. A high prevalence of AC exists in DM and equally a high prevalence of DM is present in AC. Screening for DM should be considered in patients presenting with AC.

Effectiveness of Shock Wave Therapy versus Intra-Articular Corticosteroid Injection in Diabetic Frozen Shoulder Patients’ Management: Randomized Controlled Trial

“…The percent of female subjects in each group was 58.3% and 62.5% for Group A and B, respectively, with an age range from 48 to 59 years and a mean BMI of 37.63 kg/m 2 . These patient characteristics are consistent with other studies, where AC was more common in obese women in the fifth decade of age [32,33] and can affect daily living activities with a reduction in the quality of life due to different degrees of shoulder ROM limitation [3].…”

“…Many painful musculoskeletal conditions that interfere with regular daily activity, including trigger finger, carpal tunnel syndrome, osteoarthritis, and frozen shoulder, are associated with diabetes mellitus (DM) [1]. Adhesive capsulitis (AC) (also referred to as frozen shoulder) is characterized by severe shoulder pain [2] with advanced limitation of the joint range of motion associated with functional disability [3], that negatively affects life quality and care costs [4]. AC is caused by inflammation and results in tissue fibrosis, which might lead to joint capsule tightness [5].…”

Clinical Results and Complications of Shoulder Manipulation under Ultrasound-Guided Cervical Nerve Root Block for Frozen Shoulder: A Retrospective Observational Study

“…Frozen shoulder (FS) or adhesive capsulitis is one of the most common orthopedic conditions affecting the shoulder, with prevalence of 2–5% in the general population [1–3]. This condition commonly occurs between 40 and 60 years of life, with the peak age in the mid-50s [4].…”

Risk of Herpes Zoster in Patients with Adhesive Capsulitis of the Shoulder

“…In addition, the prevalence of diabetes among the patients with ACoS was determined to reach 30%. Therefore, the authors suggested screening for diabetes should be considered for patients with ACoS [14]. Rai et al reported rates of 15.5% and 27.4% for prediabetes and diabetes, respectively, among the patients with ACoS.…”