Frequency of Different Types of Soft Tissue Rheumatism in Patients with Diabetes Mellitus Soft Tissue Rheumatism in Diabetic Patients
Main Article Content
Abstract
Background: Soft tissue rheumatism, including conditions such as adhesive capsulitis and carpal tunnel syndrome, is prevalent in diabetic patients, exacerbated by chronic hyperglycemia. Understanding the incidence of these conditions is crucial for effective management.
Objective: To determine the incidence and distribution of different types of soft tissue rheumatism in patients with diabetes mellitus.
Methods: This cross-sectional study included 322 diabetic patients from the Rheumatology Department of Federal Government Polyclinic Hospital, Islamabad. Participants were selected through non-probability convenient sampling. Comprehensive musculoskeletal examinations were conducted to diagnose soft tissue rheumatic conditions. Data, including demographic details and clinical history, were analyzed using SPSS version 25. Descriptive statistics and Pearson’s correlation test were applied.
Results: The mean age of participants was 53.93±9.03 years, and the mean BMI was 25.73±4.25 kg/m². The most common conditions were adhesive capsulitis (22.51%), plantar fasciitis (17.74%), and tenosynovitis (16.15%). No significant correlation was found between soft tissue rheumatism and HbA1c levels, gender, or diabetes duration.
Conclusion: Soft tissue rheumatism is prevalent among diabetic patients, significantly impacting their quality of life. Routine musculoskeletal assessments are recommended for early detection and management.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Mahroos R, Almoallim H. Soft Tissue Rheumatic Disorders. Skills in Rheumatology. 2021;1(1):461-74.
Bobirca FT, Dumitrescu D, Georgescu TF, Bobirca A, Iorgus C, Georgescu M, et al. Surgical Implications In The Pathology Of Diabetes Mellitus–Review Of The Literature. Medicina Moderna. 2023;30(1):1-5.
Jiao X, Li Z, An S, Huang J, Feng M, Cao G. Does Diabetes Mellitus Increase The Incidence Of Early Thrombosis In Deep Vein Following Unicompartmental Knee Arthroplasty: A Retrospective Cohort Study. BMC Geriatrics. 2022;22(1):448-53.
Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalence Of Diabetes: Estimates For The Year 2000 And Projections For 2030. Diabetes Care. 2004;27(5):1047-53.
Sabaq AG, Bassam SEA, Said KM. Effect Of Transition Care Educational Program On Transitional Readiness, Self-Efficacy And Quality Of Life Among Adolescents With Type 1 Diabetes Mellitus. Tanta Scientific Nursing Journal. 2022;24(1):74-103.
Mehri A, Solhi M, Garmaroudi G, Nadrian H, Sighaldeh SS. Health Promoting Lifestyle And Its Determinants Among University Students In Sabzevar, Iran. International Journal Of Preventive Medicine. 2016;7(1):65-70.
Aloayan LI, Zawawi AH. Musculoskeletal Manifestations Among Diabetic Patients In Saudi Arabia. Journal Of Family Medicine And Primary Care. 2020;9(11):5597-600.
Csonka V, Varjú C, Lendvay M. Diabetes Mellitus-Related Musculoskeletal Disorders: Unveiling The Cluster Of Diseases. Primary Care Diabetes. 2023;1(1):1-7.
Gokcen N, Cetinkaya Altuntas S, Coskun Benlidayi I, Sert M, Nazlican E, Sarpel T. An Overlooked Rheumatologic Manifestation Of Diabetes: Diabetic Cheiroarthropathy. Clinical Rheumatology. 2019;38(1):927-32.
Singla R, Gupta Y, Kalra S. Musculoskeletal Effects Of Diabetes Mellitus. JPMA. 2015;65(9):1024-7.
Vlassara H, Uribarri J. Advanced Glycation End Products (AGE) And Diabetes: Cause, Effect, Or Both? Current Diabetes Reports. 2014;14(1):1-10.
Joshi SA, Patel VD, Eapen C, Hariharan K. Proportion And Distribution Of Upper Extremity Musculoskeletal Disorders And Its Association With Disability In Type 2 Diabetes Mellitus. Journal Of Hand Therapy. 2022;35(4):597-604.
Rhee SY, Kim YS. The Role Of Advanced Glycation End Products In Diabetic Vascular Complications. Diabetes & Metabolism Journal. 2018;42(3):188.
Serban A, Udrea G. Rheumatic Manifestations In Diabetic Patients. Journal Of Medicine And Life. 2022;5(3):252-6.
Popoviciu MS, Kaka N, Sethi Y, Patel N, Chopra H, Cavalu S. Type 1 Diabetes Mellitus And Autoimmune Diseases: A Critical Review Of The Association And The Application Of Personalized Medicine. Journal Of Personalized Medicine. 2023;13(3):422-9.
Majjad A, Errahali Y, Toufik H, Djossou J, Ghassem M, Kasouati J, et al. Musculoskeletal Disorders In Patients With Diabetes Mellitus: A Cross-Sectional Study. International Journal Of Rheumatology. 2018;1(1):1-6.
Kamiab Z, Shafaee N, Askar PS, Abbasifard M. Prevalence And Prevention Of Rheumatologic Manifestations And Their Relationship With Blood Glucose Control In Patients With Type II Diabetes. International Journal Of Preventive Medicine. 2021;12(1):142-7.
Cagliero E, Apruzzese W, Perlmutter GS, Nathan DM. Musculoskeletal Disorders Of The Hand And Shoulder In Patients With Diabetes Mellitus. The American Journal Of Medicine. 2002;112(6):487-90.
Lindsay JR, Kennedy L, Atkinson AB, Bell PM, Carson DJ, McCance DR, et al. Reduced Prevalence Of Limited Joint Mobility In Type 1 Diabetes In A UK Clinic Population Over A 20-Year Period. Diabetes Care. 2005;28(3):658-61.
Shakibi MR, Atapour J, Kalantari B, Namjou B. Evaluation Of Frequency And Risk Factors Of Soft Tissue Rheumatism Of Upper Limbs In Diabetic Patients In Kerman In 2001.
Mathew AJ, Nair JB, Pillai SS. Rheumatic‐Musculoskeletal Manifestations In Type 2 Diabetes Mellitus Patients In South India. International Journal Of Rheumatic Diseases. 2011;14(1):55-60.
Singh R, Gamble G, Cundy T. Lifetime Risk Of Symptomatic Carpal Tunnel Syndrome In Type 1 Diabetes. Diabetic Medicine. 2005;22(5):625-30.
Attar SM. Musculoskeletal Manifestations In Diabetic Patients At A Tertiary Center. Libyan Journal Of Medicine. 2012;7(1).