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

Authors

  • Towseef Ahmad Bhat Department of Orthopaedics, Pt. JLN Government Medical College, Chamba, Himachal Pradesh, India
  • Ummer Jalalie Department of General Medicine, Pt. JLN Government Medical College, Chamba, Himachal Pradesh, India
  • Sanjay Kashyap Department of General Medicine, Pt. JLN Government Medical College, Chamba, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20194999

Keywords:

Diabetes mellitus, Limb, Lower, Manifestation, Musculoskeletal, Upper

Abstract

Background: The prevalence of diabetes mellitus (DM) is increasing at an alarming rate throughout world. Diabetes is mostly known for vascular and neurological complications. Musculoskeletal manifestations though not as serious as neurovascular complications can be very disabling. These may involve, the upper as well as the lower limb. This study was performed with am to find out the prevalence of musculoskeletal manifestations in type 2 diabetics in a far-flung district of Himachal Pradesh, India.

Methods: Total 350 patients with type 2 DM were included in the study. 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 shoulder was the most commonly involved joint 21.7% of the patients followed by hand in 16.28% patients and knee in 13.18% patients. Foot was involved in 12% and hand in 7% of the patients. The commonest manifestation in upper limb was adhesive capsulitis in 19.1% and in lower limb was symptomatic knee osteoarthritis in 14.57% patients.

Conclusions: Author observed high prevalence of musculoskeletal complications in type 2 diabetics in this study.

References

Papanas N, Maltezos E. The diabetic hand: a forgotten complication? J Diabet Compl. 2010;24(3):154-62.

Edward W. Gregg, Carol M. Mangione, Jane A. Cauley, Theodore J. Thompson, Ann V. Schwartz, et al. Diabetes and Incidence of Functional Disability in Older Women. Diabetes Care. 2002.Jan;25(1):61-7.

Egede LE. Diabetes, major depression, and functional disability among US adults. Diabet Care. 2004;27(2):421-8.

Singla R, Gupta Y, Kalra S. Musculoskeletal effects of diabetes mellitus. JPMA. J Pak Medi Associ. 2015;65(9):1024-7.

Bhat TA, Dhar SA, Dar TA, Naikoo MA, Naqqash MA, Bhat A, et al. The musculoskeletal manifestations of type 2 diabetes mellitus in a Kashmiri population. Int J Health Sci. 2016;10(1):57.

Serban AL, Udrea GF. Rheumatic manifestations in diabetic patients. J Medi Life. 2012;5(3):252.

Roquelaure Y, Ha C, Rouillon C, Fouquet N, Leclerc A, Descatha A, et al. Risk factors for upper‐extremity musculoskeletal disorders in the working population. Arthritis Care & Research. 2009 Oct 15;61(10):1425-34.

Arkkila PE, Gautier JF. Musculoskeletal disorders in diabetes mellitus: an update. Best Prac Res Clin Rheumatol. 2003;17(6):945-70.

Balci N, Balci MK, Tüzüner S. Shoulder adhesive capsulitis and shoulder range of motion in type II diabetes mellitus: association with diabetic complications. J Diabet Compl. 1999;13(3):135-40.

Crispin JC, Alcocer-Varela J. Rheumatologic manifestations of diabetes mellitus. Amer J medi. 2003;114(9):753-7.

Handa A, Gotoh M, Hamada K, Yanagisawa K, Yamazaki H, Nakamura M, et al. Vascular endothelial growth factor 121 and 165 in the subacromial bursa are involved in shoulder joint contracture in type II diabetics with rotator cuff disease. J Orthop Res. 2003;21(6):1138-44.

Rosenbloom AL, Silverstein JH, Lezotte DC, Richardson K, McCallum M. Limited joint mobility in childhood diabetes mellitus indicates increased risk for microvascular disease. New Eng J Med. 1981;305(4):191-4.

Sarkar P, Pain S, Sarkar RN, Ghosal R, Mandal SK, Banerjee R. Rheumatological manifestations in Diabetes mellitus. J Ind Med Assoc. 2008;106:593-659.

Douloumpakas I, Pyrpasopoulou A, Triantafyllou A, Sampanis Ch, Aslanidis S. Prevalence of musculoskeletal disorders in patients with type 2 diabetes mellitus: a pilot study. Hippo. 2007;11:216-8.

Kim RP, Edelman SV, Kim DD. Musculoskeletal complications of diabetes mellitus. Clin Diabet. 2001:132-5.

Markenson JA. Rheumatic manifestations of endocrine diseases. Curr Opin Rheumatol. 2010;22:64-71.

Smith LL, Burnet SP, McNeil JD. Musculoskeletal manifestations of diabetes mellitus. Bri J sports Med. 2003;37(1):30-5.

Mavrikakis ME, Drimis S, Kontoyannis DA, Rasidakis A, Moulopoulou ES, Kontoyannis S. Calcific shoulder periarthritis (tendinitis) in adult onset diabetes mellitus: a controlled study. Ann Rheum Dis. 1989;48(3):211-4.

Balci N, Balci MK, Tüzüner S. Shoulder adhesive capsulitis and shoulder range of motion in type II diabetes mellitus: association with diabetic complications. J Diabet Compl. 1999;13(3):135-40.

Ramchurn N, Mashamba C, Leitch E, Arutchelvam V, Narayanan K, Weaver J, et al. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J inter Med. 2009;20(7):718-21.

Bayat A, McGrouther DA. Management of Dupuytren's disease-clear advice for an elusive condition. Annal Royal Coll Surg Engl. 2006;88(1):3-8.

Stradner F, Ulreich A, Pfeiffer KP. Dupuytren's contracture as a concomitant disease in diabetes mellitus. Wienr Medizi Woche. 1987;137(4):89-92.

Mikkelsen OA. The prevalence of Dupuytren's disease in Norway. Acta Chirur Surg. 1972;138:695-700.

Savaş S, Köroğlu BK, Koyuncuoğlu HR, Uzar E, Çelik H, Tamer NM. The effects of the diabetes related soft tissue hand lesions and the reduced hand strength on functional disability of hand in type 2 diabetic patients. Diabet Res Clin Practice. 2007;77(1):77-83.

Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, Ashraf R, et al. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoul Elbo Surg. 2007;16(6):748-51.

Bhat TA, Dhar SA, Dar TA, Naikoo MA, Naqqash MA, Bhat A, et al. The musculoskeletal manifestations of type 2 diabetes mellitus in a Kashmiri population. Int J health Sci. 2016;10(1):57.

Fatemi A, Iraj B, Barzanian J, Maracy M, Smiley A. Musculoskeletal manifestations in diabetic versus prediabetic patients. Int J Rheum Dis. 2015;18(7):791-9.

Mavrikakis ME, Drimis S, Kontoyannis DA, Rasidakis A, Moulopoulou ES, Kontoyannis S. Calcific shoulder periarthritis (tendinitis) in adult onset diabetes mellitus: a controlled study. Ann Rheu Dis. 1989;48(3):211-4.

Savaş S, Köroğlu BK, Koyuncuoğlu HR, Uzar E, Çelik H, Tamer NM. The effects of the diabetes related soft tissue hand lesions and the reduced hand strength on functional disability of hand in type 2 diabetic patients. Diabet Res Clin Prac. 2007;77(1):77-83.

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Published

2019-10-24

How to Cite

Bhat, T. A., Jalalie, U., & Kashyap, S. (2019). An observational study on musculoskeletal manifestations in type 2 Diabetes mellitus in rural population of Himachal Pradesh, India. International Journal of Research in Medical Sciences, 7(11), 4237–4242. https://doi.org/10.18203/2320-6012.ijrms20194999

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Original Research Articles