Shoulder Adhesive Capsulitis and Shoulder Range of Motion in Type II Diabetes Mellitus

Balcı, Nilüfer; Balcı, Mustafa Kemal; Tuzuner, Serdar

doi:10.1016/s1056-8727(99)00037-9

Cited by 190 publications

(148 citation statements)

References 12 publications

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“…[12] Rheumatic disorders in DM have been associated with disease duration, degree of metabolic control, and the presence of end organ damage. [13,14,15] The concurrent effect of advanced age in patients with type 2 diabetes mellitus must be considered. Aging tendons and ligaments are subjected to degenerative changes, whereby the number of tendon cells per unit of surface area is decreased, the tenocytes become slender, and there is reduced protein synthesis in the organelles, particularly in the rough endoplasmic reticulum.…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

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

Bhat

Dhar

Dar

et al. 2016

IJHS

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“…This study also demonstrated that stiff shoulder could be successfully managed irrespective of a previous trauma history such as a fall or traffic accident. Associations between idiopathic frozen shoulder and systemic diseases such as thyroid diseases, myocardial infarction, and cerebrovascular accidents are reported [17,23]. In this study, we examined these diseases by self-questionnaire but no patients declared them.…”

Section: Discussionmentioning

confidence: 99%

“…Prognostic factors for the nonoperative treatment of stiff shoulder are diabetes mellitus, trauma at onset, duration of symptoms before treatment, sex, age, and severity of restricted joint motion [5,[10][11][12][16][17][18]. Patients with diabetes mellitus show a higher incidence and bilateral involvement, and are recalcitrant to the conservative treatment compared to the nondiabetic patients [1,17,19].…”

Section: Introductionmentioning

confidence: 99%

“…Patients with diabetes mellitus show a higher incidence and bilateral involvement, and are recalcitrant to the conservative treatment compared to the nondiabetic patients [1,17,19]. Although corticosteroid injections may be beneficial, the deleterious effects of corticosteroids such as increased risk of bacterial infection and osteonecrosis of the humeral head should be considered.…”

Section: Introductionmentioning

confidence: 99%

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Identification of prognostic factors for the nonoperative treatment of stiff shoulder

Andõ

Sugaya

Hagiwara

et al. 2013

International Orthopaedics (SICOT)

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Purpose This study evaluated prognostic factors for the nonoperative treatment of stiff shoulder. Methods Between June 2005 and May 2010, 497 stiff shoulders treated at our institute were included in this study. Multivariable analysis for recovery with Cox proportional hazard model was performed. The chief determining variable was pathogenesis (idiopathic, diabetic, post-traumatic) and confounding variables were age (49 or less, 50-59, 60 and above), sex, onset to visit interval (three months or less, four months or more), and external rotation (under 0°, 0°or more) or forward flexion (less than 90°, 90°or more) or internal rotation on the first visit. Results There were 356 idiopathic, 61 diabetic, and 80 posttraumatic stiff shoulders. Hazard ratio (HR) and 95 % confidence interval (CI) for recovery (lower HR means poor prognosis) was 0.54 (0.36-0.96) in the diabetic group (p=0.007), and 0.92 (0.67-1.25) in the post-traumatic group (p=0.58) compared with the idiopathic group. A positive correlation was observed in ages of 60 or over (HR 1.46, 95 % CI 0.86-1.65, p-value 0.02) and external rotation under 0°on the first visit (0.71, 0.53-0.96, 0.03). No correlations were observed in sex (p=0.78) or onset to visit interval (p=0.99). Similar results were obtained when forward flexion or internal rotation was used as a confounding variable. Conclusions Diabetes mellitus and severely restricted joint motion on the first visit were poor prognostic factors and ages of 60 or over was a better prognostic factor.

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“…39 Its prevalence in diabetics varies from 10-29%. 40,41 Increased prevalence of shoulder calcification has been noticed in those patients with longer duration of disease and treatment with insulin. 42 The joint capsule becomes thickened and adherent to the head of humerus in case of idiopathic adhesive capsulitis, thus reducing the volume of glenohumeral joint.…”

Section: Frozen Shoulder Syndromementioning

confidence: 99%

Rheumatological Manifestations of Diabetes Mellitus ─ An Update

et al. 2018

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Shoulder Adhesive Capsulitis and Shoulder Range of Motion in Type II Diabetes Mellitus

Cited by 190 publications

References 12 publications

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

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

Identification of prognostic factors for the nonoperative treatment of stiff shoulder

Rheumatological Manifestations of Diabetes Mellitus ─ An Update

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