An observational study on musculoskeletal manifestations in type 2 Diabetes mellitus in rural population of Himachal Pradesh, India

Bhat, Towseef Ahmad; Jalalie, Ummer; Kashyap, Sanjay M.

doi:10.18203/2320-6012.ijrms20194999

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…The length of the diabetes disease and musculoskeletal (MSK) symptoms were shown to be significantly correlated in 2019, with individuals who had the condition for longer than 10 years being more likely to experience these manifestations [23] . Insignificant association between the outcomes and the length of diabetes was found in contrast to Abate et al (14) the inability to pinpoint the age of diabetes development may be the cause of the lack of connection.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Muscluo-Tendionous Changes in Diabetes Mellitus: A Musculoskeletal Ultrasonographic study

El-Alfy¹,

Fawzy²,

I.Ramadan³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Diabetes mellitus (DM) is a common endocrine disorder worldwide, causing multisystem comorbidities, which compromise organ functions including musculoskeletal complications that affect the quality of life up to handicapping. Ultrasound is a very sensitive tool and a strong predictor of a DM musculoskeletal (MSK) changes, aiding in early management and control of disease parameters preventing subsequent comorbidities.Objective: This study aimed to evaluate if there is a relation between sonographic musculo-tendinous structural changes and diabetes and to correlate them with both clinical and laboratory parameters. Patient and Methods: 40 diabetic patients and 25 healthy subjects were involved in this work. All participants underwent history taking, general and musculoskeletal examination and laboratory and ultrasonographic evaluation. Results: 28 diabetic females and 12 diabetic males with mean age of 49.8± 13.7 years, showed statistically significant tendinous changes mainly tendon thickness compared to controls (p<0.05), there were statistically significant correlations between these variations and disease duration, HA1c P (0.008, <0.001) respectively. Conclusion: Chronic diabetes is linked to the destruction of collagen fibres, and biomechanical decline of tendons. Ultrasound is sensitive and accurate dedicated, simple and noninvasive screening method for the detection of musculoskeletal changes related to diabetes. This could serve as strong screening tool of underserved, asymptomatic diabetic individuals.

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Section: Discussionmentioning

confidence: 99%

Assessment of Muscluo-Tendionous Changes in Diabetes Mellitus: A Musculoskeletal Ultrasonographic study

El-Alfy¹,

Fawzy²,

I.Ramadan³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…[ 2 ] In 2019, a study done by Bhat TA et al . [ 3 ] concluded that there was a significant correlation between the duration of the diabetic disease and musculoskeletal (MSK) manifestations. They also observed that patients having diabetes for more than 10 years were more likely to develop these manifestations.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal manifestations in type-2 diabetic patients attending a tertiary care hospital in a North-Eastern city of India—A cross-sectional observational study

Goswami

Sarkar

Sengupta

et al. 2023

Journal of Family Medicine and Primary Care

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A BSTRACT Background: Musculoskeletal manifestations of diabetes are common and not life threatening, but these are an important cause of morbidity, pain and disability among diabetic patients. In 2004, the National Health Interview Survey determined that 58% of diabetic patients would have musculoskeletal functional disability. This study was designed to estimate the proportion of musculoskeletal manifestations among Type 2 diabetic patients attending a tertiary care hospital in Tripura and also to determine the association of various musculoskeletal manifestations with glycaemic status, body mass index and duration of diabetes mellitus. Methods: This hospital-based cross-sectional study was carried out in a tertiary care hospital in a northeastern state of India from December 2020 to November 2021. All the diabetic patients attending diabetes nutrition clinic of a tertiary care hospital for a period of one year were considered for this study. Diagnosis of musculoskeletal disorder was made based on history, physical examination, laboratory test and imaging test. Quantitative data were expressed as mean and standard deviation. Descriptive data was expressed in percentages and frequencies using charts and tables. Chi-square test was applied to explore any association between variables. Ethical approval for the study was obtained from the institutional ethics committee. Results: Out of four hundred and forty-two diabetic cases and two hundred and thirty-four (52.9%) patients were found with musculoskeletal manifestations, 55% of which belong to 45–59 age group. Conclusion: Physicians treating diabetic patients should be encouraged for regular examination for musculoskeletal complaints. Early diagnosis will facilitate appropriate treatment and thus prevents further complications.

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“…They observed that who had DM for more than 10 years weremore likely to develop these manifestations. [ 12 ]…”

Section: Introductionmentioning

confidence: 99%

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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An observational study on musculoskeletal manifestations in type 2 Diabetes mellitus in rural population of Himachal Pradesh, India

Cited by 3 publications

References 19 publications

Assessment of Muscluo-Tendionous Changes in Diabetes Mellitus: A Musculoskeletal Ultrasonographic study

Assessment of Muscluo-Tendionous Changes in Diabetes Mellitus: A Musculoskeletal Ultrasonographic study

Musculoskeletal manifestations in type-2 diabetic patients attending a tertiary care hospital in a North-Eastern city of India—A cross-sectional observational study

Musculoskeletal manifestations among diabetic patients in Saudi Arabia

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