Musculoskeletal manifestations among diabetic patients in Saudi Arabia

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 c...

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Main Authors: Laura I AlOayan, Alia H Zawawi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=11;spage=5597;epage=5600;aulast=AlOayan
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author Laura I AlOayan
Alia H Zawawi
author_facet Laura I AlOayan
Alia H Zawawi
author_sort Laura I AlOayan
collection DOAJ
description 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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spelling doaj.art-e165a2d9ddea4c3b9b9467f87814dfac2022-12-21T19:07:03ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019115597560010.4103/jfmpc.jfmpc_654_20Musculoskeletal manifestations among diabetic patients in Saudi ArabiaLaura I AlOayanAlia H ZawawiContext: 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.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=11;spage=5597;epage=5600;aulast=AlOayanadultdiabetesmusculoskeletaltype 2
spellingShingle Laura I AlOayan
Alia H Zawawi
Musculoskeletal manifestations among diabetic patients in Saudi Arabia
Journal of Family Medicine and Primary Care
adult
diabetes
musculoskeletal
type 2
title Musculoskeletal manifestations among diabetic patients in Saudi Arabia
title_full Musculoskeletal manifestations among diabetic patients in Saudi Arabia
title_fullStr Musculoskeletal manifestations among diabetic patients in Saudi Arabia
title_full_unstemmed Musculoskeletal manifestations among diabetic patients in Saudi Arabia
title_short Musculoskeletal manifestations among diabetic patients in Saudi Arabia
title_sort musculoskeletal manifestations among diabetic patients in saudi arabia
topic adult
diabetes
musculoskeletal
type 2
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=11;spage=5597;epage=5600;aulast=AlOayan
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AT aliahzawawi musculoskeletalmanifestationsamongdiabeticpatientsinsaudiarabia