THE PREVALENCE OF SHOULDER LESIONS IN DIABETES MELLITUS
Authors: Ammar Hassan Gatea , SABIHA MAHDI HUSSEIN ALI BAGHDADI, ABEER JASIM HAMDAN

ABSTRACT
Introduction: Musculoskeletal syndromes associated with diabetes mellitus , are ill understood. Lesions of rotator cuff are common and important source of shoulder pain, the supraspinatus frequently undergoes rupture , as such it is the main site of chronic soft tissue rheumatism. Aim of study: To study the prevalence of shoulder lesions in diabetes mellitus. Patients and method: This cross-sectional study was carried out in Sheikh Zayad Hospital on patients admitted in the medical and orthopedic wards for different causes, from September 2005-september 2006. Patients with established diagnosis of diabetes mellitus were included in this study. Detailed history was obtained regarding the age, sex, type of diabetes, the duration of diabetes, the dominant hand ,the complications and other associated chronic illnesses. Results: 200 patients whom known cases of diabetes mellitus were included in this study. They were 116 (58%) female and 84 (42%) male. The most common shoulder lesion in this study was supraspinatus tendonitis ± bicipital tendonitis, 24 cases (63, 15%), of these 24 cases (9) cases (75%) were male and (15) cases (57, 7%) were female. Frozen shoulder, the second lesion affecting the shoulder in this study, was only 1 case (8, 3%) in male and 7 cases (26, 9%) in female. Of these 38 cases, 20 cases (52, 63%) the lesion was on the dominant hand, 11cases (28, 95%) the lesion was on the non dominant hand and 7 cases the lesion was bilateral. Discussion: Shoulder lesions are common and important musculoskeletal problem and they are more common in patients diabetes mellitus, especially type II. The most common shoulder lesion was supraspinatus tendonitis ± bicipital tendonitis, followed by frozen shoulder. Keywords: Supraspinatus, tendonitis, diabetes mellitus

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https://doi.org/10.31032/IJBPAS/2019/8.11.4851