Abstract
Introduction: Adhesive capsulitis (frozen shoulder) is a clinical condition characterized by painful, restricted range of motion of the shoulder. It is more common in patients with type 2 diabetes mellitus. We aim to study the prevalence of adhesive capsulitis in type 2 diabetes mellitus patients and to study its relationship with age, gender, duration of diabetes, glycaemic control and BMI.
Methods: An observational study was done in 300 patients with type 2 DM. Patients with shoulder pain and restricted active and passive shoulder joint movements were diagnosed as having frozen shoulder (adhesive capsulitis).The data were statistically analysed.
Results: Adhesive capsulitis was present in 32.3% of patients with type 2 diabetes. It was also found that there was a statistically significant association between occurrence of adhesive capsulitis and increasing age, duration of diabetes and poor glycaemic status.
Conclusion: Adhesive capsulitis was seen to be the most commonly prevalent musculoskeletal disorder among patients with type 2 diabetes. Its occurrence was found to be more prevalent with increasing age, greater duration of diabetes and poorly controlled glycaemic status.
Keywords: Type 2 diabetes mellitus, adhesive capsulitis, age, gender, duration of diabetes, glycaemic status, BMI.
References
- Douloumpakas I, Pyrpasopoulou A, Triantaafyllou A, SampanisCh, Aslanidis S. Prevalence of musculoskeletal disorders in patients with type 2 diabetes mellitus: a pilot study. Hippokratia. 2007; 11:216-8.
- Tariq Ahmed Bhat: The Musculoskeletal Manifestations of Type 2 Diabetes Mellitus in a Kashmiri Population, International Journal of Health Sciences, 2016 Jan; 10(1): 57–68.
- Neviaser J: Adhesive capsulitis of the shoulder, J Bone Joint Surg Am 27:211-222, 1945.
- Hannafin J, Chiaia TA: Adhesive capsulitis, Clin Orthop 2000 Mar;372:95-109,
- Shah N, Lewis M: Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections, Br J Gen Pract 57:662-667, 2007.
- Hamdan T, Al-Essa KA: Manipulation under anaesthesia for the treatment of frozen shoulder, Int Orthop 27:107–109, 2003.
- Bell S, Coghlan J, Richardson M: Hydrodilatation in the management of shoulder capsulitis, AustralasRadiol 47:247–251, 2003.
- Quraishi N, Johnston P, Bayer J, et al: Thawing the frozen shoulder: a randomised trial comparing manipulation under anaesthesia with hydrodilatation, J Bone Joint Surg Br 89:1197–2000, 2007.
- Pearsall A, Speer KP: Frozen shoulder syndrome: diagnostic and treatment strategies in the primary care setting, Med Sci Sports Exerc 30(Suppl 4):S33–S39
- Ramchurn N, Mashamba C, Leitch E, Arutchelvam V, Narayanan K, Weaver J, Hamilton J, Heycock C, Saravanan V, Kelly C. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J Intern Med 2009;20:71821.
- R N Sarkar: Rheumatological Manifestations Of Diabetes Mellitus, Indian Rheumatol Assoc 2003:11: 25 – 29
- Ray S, Datta AK, Sinhamahapatra P, Ray I, Mukhopadhyay P, Dasgupta S. Prevalence of rheumatic conditions in patients with diabetes mellitus in a tertiary care hospital. J Indian Med Assoc 2011;109:74-8.
- Perttu E T Arkkila, Ilkka M Kantola, Jorma S A Viikari, Tapani Ronnemaa Shoulder capsulitis in type I and II diabetic patients: association with diabetic complications and related diseases. Ann Rheum Dis 1996;55:907-914
- Sattar MA Periarthritis: Another Duration-Related Complication of Diabetes Mellitus, Diabetes Care 1985 Sep-Oct;8(5):507-10.
Corresponding Author
Sreedevi Menon Parappil
Professor and Head, Department of Physical Medicine and Rehabilitation, Government Medical College, Kozhikode- 673008, India
Mobile: 09947412900, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.