Sonographic Findings of Common Musculoskeletal Diseases in Patients with Diabetes Mellitus

Park, Min‐Ho; Park, Ji Seon; Ahn, Sung-Ho; Ryu, Kyung Nam; Park, So Young; Jin, Wook

doi:10.3348/kjr.2016.17.2.245

Cited by 7 publications

(8 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many diabetic patients are referred for musculoskeletal US, since diabetes is prevalent and is associated with an increased risk of multiple musculoskeletal disorders . Diabetes mellitus affects 30.3 million Americans and more than 382 million worldwide.…”

mentioning

confidence: 99%

The Hyperechoic Appearance of the Deltoid Muscle on Shoulder Ultrasound Imaging as a Predictor of Diabetes and Prediabetes

Soliman

Rosen

Williams

et al. 2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objectives To evaluate whether the ultrasound appearance of the deltoid muscle in diabetic patients differs from that in obese nondiabetic patients. Methods Ultrasound images of the deltoid muscle from 137 type 2 diabetic patients (including 13 prediabetic patients) and 49 obese nondiabetic patients were blindly reviewed by 2 musculoskeletal radiologists, and by a third when arbitration was needed, to determine whether the appearance was “normal,” “suspected diabetes,” or “definite diabetes.” Age, sex, race, body mass index (BMI), insulin use, and hemoglobin A1c were analyzed. This retrospective study included patients presenting between October 2005 and November 2017. Statistical analyses included a 2‐sided sample t test or Wilcoxon rank sum test and a χ2 or Fisher exact test. Statistical significance was defined as P < .05. Results The type 2 diabetic patients included 98 women and 39 men aged 29 to 92 years, and the nondiabetic patients included 19 women and 30 men aged 18 to 75 years. A consensus diagnosis of definite diabetes by the musculoskeletal radiologists based on a hyperechoic deltoid was a powerful predictor of diabetes, with a positive predictive value of 89%. A hyperechoic deltoid was also a powerful predictor of prediabetes. Of the 13 prediabetic patients, all had the same hyperechoic appearance of the diabetic deltoid, regardless of BMI. Although obese diabetic patients more often had a diagnosis of definite diabetes, the BMI alone could not explain the increased echogenicity, as obese nondiabetic patients’ deltoid muscles did not appear as hyperechoic and were correctly categorized as not having definite diabetes with 82% specificity. Conclusions The characteristic hyperechoic deltoid appearance is a strong predictor of both diabetes and prediabetes and differs from that of obese nondiabetic patients.

show abstract

mentioning

confidence: 99%

The Hyperechoic Appearance of the Deltoid Muscle on Shoulder Ultrasound Imaging as a Predictor of Diabetes and Prediabetes

Soliman

Rosen

Williams

et al. 2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

show abstract

“…Although confined to osseous lesions, sonography is an effective imaging technique for the diagnosis of the many MSK disorders associated with diabetes mellitus. Identification of potential MSK disorders in diabetic patients, as well as characteristic sonographic features for each disease entity, may aid in a precise diagnosis [5].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Tendon Alterations In Diabetic Patients: An Ultrasonographic study

I.Ramadan

Egila

Elhanafy

et al. 2022

Benha Journal of Applied Sciences

View full text Add to dashboard Cite

Complications that might arise from diabetes include kidney illness; neuropathy; retinopathy; and musculoskeletal (MSK) symptoms. MSK symptoms in people with DM might have a negative influence on their quality of life. Adhesive capsulitis, shoulder hand syndrome (SHS), diabetic hand syndrome (DHS), DISH, Dupuytren's contracture (DC), and neuroarthropathy are a few of the symptoms that might appear. Musculoskeletal imaging is becoming more and more common with the use of ultrasound, a very effective imaging modality. Patients with diabetes mellitus (DM) were studied utilising musculoskeletal ultrasound (MSUS) imaging in order to examine alterations in certain tendons, in both the upper and lower limbs, as well as their clinical condition, illness duration, glycemic management, and other laboratory data. Methods: Forty diabetic individuals who met the American Diabetes Association's definition of diabetes mellitus (DM) were studied in this research (Group I). Attendants of the Endocrinology unit of Benha University Hospitals' Internal Medicine department were invited to participate in the study. Group II: twenty-five seemingly healthy participants were chosen from hospital staff and relatives of other patients to serve as a control group. Conclusions: In this investigation, tendons were found to be prominent on one side in both the control and non-complaining groups. Tenderness in the biceps tendon was found in three healthy controls and 18 cases, whereas discomfort in the supraspinatus tendons was found in three healthy controls and six diabetes patients who underwent palpation testing. DM patients' Subscapularis tendons were found to be 10% painful, whereas Achilles tendons were found to be 25% tender. Twelve biceps tendons, eight supraspinatus tendons, and eight subscapularis tendons in DM patients had statistically negligible differences from healthy controls in terms of tendon degradation. Tendon thickness differences between DM patients and healthy controls were found to be statistically significant. There was evidence of effusion in four out of the eight biceps tendons evaluated, despite the fact that none of the healthy controls exhibited any signs of bicipital tendinitis. Diabetes patients had higher tendon calcifications in their biceps, supraspinatus, and subscapularis than healthy controls, although the differences were not statistically significant. Over 5 percent of the supraspinatus tendons had partial tendon tears, but no partial tendon tears were found in any of the Subscapularis tendons, and no full thickness tears were found in any of the tendons we investigated. Tenderness in the Achilles tendon was seen more often in people with diabetes than in healthy controls, although the difference was statistically insignificant. According to MSUS, the investigated patients had greater Achilles tendon degeneration, calcium deposits, and a retrocalcaneal bursa than the healthy controls did, although the differences were statistically insignificant. Even though there was a statistically significant differen...

show abstract

“…Also, we decided to exclude review articles. Although some of these articles did show original US/MRI-images of patients with DD [11–13, 57–67], no original data on one of the possible applications of imaging for DD were given in these articles or the information provided was based on an expert opinion.…”

Section: Discussionmentioning

confidence: 99%

Imaging for Dupuytren disease: a systematic review of the literature

Molenkamp

Straalen

Werker

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background As treatment of Dupuytren disease (DD) is expected to shift towards prevention of progression, the use of imaging in patients with DD becomes more important. In this systematic review an overview is given of the different methods for and applications of imaging for DD that have been described. Methods The MEDLINE and EMBASE databases were searched for articles reporting the use of imaging in patients with DD, published before May 17, 2018. Studies were systematically examined in two rounds by two observers according to the PRISMA systematic. All studies containing original data on imaging for DD were considered for inclusion. Results Three hundred and seven unique studies were identified, of which 23 were included in the study. Only studies on the use of ultrasound (US) and magnetic resonance imaging (MRI) were identified. Broadly, articles could be divided into 5 categories. Seven studies were found on diagnosis, two on measurement of disease extent, four on measurement of disease activity, seven on guidance of minimally invasive procedures and five studies on evaluation of treatment. According to the Oxford CEBM, the levels of evidence were low, ranging from level 3 to 5. Conclusions A variety of applications for US and MRI for patients with DD has been described. Based on the results of this review, the largest value for imaging lies in the measurement of disease activity and the follow-up of treatment of patients with early stage disease. Unfortunately, the overall level of evidence of the available literature was low. Future research is necessary to define the exact value of US and MRI in the management of patients with DD.

show abstract

Sonographic Findings of Common Musculoskeletal Diseases in Patients with Diabetes Mellitus

Cited by 7 publications

References 38 publications

The Hyperechoic Appearance of the Deltoid Muscle on Shoulder Ultrasound Imaging as a Predictor of Diabetes and Prediabetes

The Hyperechoic Appearance of the Deltoid Muscle on Shoulder Ultrasound Imaging as a Predictor of Diabetes and Prediabetes

Assessment of Tendon Alterations In Diabetic Patients: An Ultrasonographic study

Imaging for Dupuytren disease: a systematic review of the literature

Contact Info

Product

Resources

About