PREVALENCE OF FROZEN SHOULDER AMONG PATIENTS WITH DIABETES IN GUJRANWALA: A CROSS-SECTIONAL STUDY
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Keywords
internal rotation, adhesive capsulitis, and diabetes mellitus
Abstract
Aim: The aim of this study is to determine the frequency of frozen shoulder in individuals with diabetes mellitus and its correlation with various demographic and nondemographic factors.
Methods: Patients with type 1 and type 2 diabetes were included in this study, which was conducted at the orthopedic department Gujranwala teaching hospital Gujranwala. Data about frozen shoulder was assessed, together with its demographic components, such as age, gender, length of diabetes, type of diabetes, and way of medication with a history of the disease in the family. To rule out frozen shoulder, the restriction in the capsular pattern of the shoulder (LAM) was examined.
Results: Of the 150 patients, 115 (76.6%) reported having shoulder pain; females (73%) were more likely to have this condition. 87 (75.6%) of the 115 patients with shoulder pain were found to have frozen shoulder; this diagnosis was correlated with gender (p=0.010), the length of diabetes (p=0.01), HbA1c (p=0.044), and family history (p=0.04).
Conclusion: In conclusion, there is a correlation between diabetes mellitus and frozen shoulder, with female diabetics having the highest incidence.
References
2. Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg. 2008;17:231-6.
3. Stam HW. Frozen shoulder: a review of current concepts. Physiotherapy. 1994;80:588-98.
4. Lequesne M, Dang N, Bensasson M, Mery C. Increased association of diabetes mellitus with capsulitis of the shoulder and shoulder-hand syndrome. Scand J Rheumatol. 1977;6:53-6.
5. Pal B, Anderson J, Dick WC, Griffiths ID. Limitation of joint mobility and shoulder capsulitis in insulin-and noninsulin-dependent diabetes mellitus. Rheumatology.
1986;25:147-51.
6. Rosenbloom AL, Silverstein JH. Connective tissue and joint disease in diabetes mellitus. J Clin Endocrinol Metab. 1996;25:473-83.
7. Agrawal RP, Gothwal S, Tantia P, Agrawal R, Rijhwani P, Sirohi P, et al. Prevalence of rheumatological manifestations in diabetic population from North-West India. J Assoc Phys Ind. 2014;62:788-92.
8. Huang YP, Fann CY, Chiu YH, Yen MF, Chen LS, Chen HH, et al. Association of diabetes mellitus with the risk of developing adhesive capsulitis of the shoulder: a longitudinal population‐based followup study. Arthritis Care Res. 2013;65:1197-202.
9. Bridgman JF. Periarthritis of the shoulder and diabetes mellitus. Ann Rheum Dis. 1972;31:69-74.
10. Lundberg BJ. Glycosaminoglycans of the Normal and Frozen Shoulder-joint Capsule. Clin Orthop Relat Res. 1970;69:279-84
11. Rodeo SA, Hannafin JA, Tom J, Warren RF, Wickiewicz TL. Immunolocalization of cytokines and their receptors in adhesive capsulitis of the shoulder. J Orthop Res. 1997;15:427-36.
12. Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. J Shoulder Elbow Surg. 2017;9:75-84.
13. Bulgen DI, Hazleman BL, Ward MA, McCallum MA. Immunological studies in frozen shoulder. Ann Rheum Dis. 1978;37:135-8.
14. Silva MB, Skare TL. Musculoskeletal disorders in diabetes mellitus. Rev Bras Reumatol. 2012;52:594-609.
15. Aydeniz A, Gursoy S, Guney E. Which musculoskeletal complications are most frequently seen in type 2 diabetes mellitus. J Int Med Res. 2008;36:505-11.
16. Arkkila PE, Gautier JF. Musculoskeletal disorders in diabetes mellitus: an update. Best Pract Res Clin Rheumatol. 2003;17:945-70.
17. Abdul-Hussain MA. Prevalence of Frozen Shoulder in Diabetic Patients. Med J Babylon 2010;7:291-301.
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Asif Yousaf
Department orthopedics, Designation postgraduate resident, Affiliation Gujranwala teaching Hospital Gujranwala, Email:
Dr Qudous ul Hassan
Department orthopedics, Designation postgraduate resident, Affiliation Gujranwala teaching hospital Gujranwala
Dr Mahwish Ashraf
Medical Officer at Ayesha Hospital, Lahore
Dr Farrukh Fazal
Department orthopedics, CONSULTANT orthopedics, Affiliation Gujranwala teaching Hospital Gujranwala
Dr Muhammad Umair
Senior Registrar, Department of Medicine, Liaquat College of Medicine and Dentistry & Darul Sehat Hospital Karachi Pakistan
Likowsky Desir
MPH, MSc, Department of Surgery, Wyckoff Heights Medical Center, United States
Syed Asif Ali
Professor and HOD, Department orthopaedics, Gujranwala Teaching Hospital Gujranwala