The Prevalence of Pronator Teres Syndrome among Male and Female with Type II Diabetes Mellitus

Main Article Content

Pinky
Kajal Devi
Jotika Chaudary
Sumran Rangwani
Hina Rafique
Maryam Farooqi

Abstract

Background: Pronator Teres Syndrome (PTS) is a condition characterized by the entrapment of the median nerve at the elbow, often resulting in pain, numbness, and weakness in the forearm and hand. While the relationship between diabetes mellitus and peripheral neuropathies is well-established, the prevalence of PTS in individuals with Type II Diabetes Mellitus and its correlation with gender remains underexplored.


Objective: The study aimed to determine the prevalence of PTS among patients with Type II Diabetes Mellitus and to investigate the potential correlation between PTS and gender.


Methods: This cross-sectional study included 100 participants (50 males and 50 females) with Type II Diabetes Mellitus, recruited from a tertiary care facility in Sindh over a six-month period. Participants were subjected to the resisted pronation/supination test to diagnose PTS. Data were analyzed using SPSS version 25, with the Chi-square test applied to examine the correlation between PTS prevalence and gender. A p-value ≤ 0.05 was considered statistically significant.


Results: Of the 100 participants, 45 tested positive for PTS, with a slightly higher prevalence among females (24) compared to males (21). However, the statistical analysis revealed no significant correlation between PTS prevalence and gender (p-value = 0.546). The age distribution of participants showed a broad range, with the highest frequency in the 40 to 45 years and more than 60 years age groups, each constituting 22% of the sample.


Conclusion: The study concludes that there is no significant correlation between the prevalence of PTS and gender among patients with Type II Diabetes Mellitus. These findings suggest that PTS affects males and females with Type II Diabetes Mellitus equally, indicating that gender does not play a discernible role in the prevalence of PTS within this population.

Article Details

How to Cite
Pinky, Devi, K., Chaudary, J., Rangwani, S., Rafique, H., & Farooqi, M. (2024). The Prevalence of Pronator Teres Syndrome among Male and Female with Type II Diabetes Mellitus. Journal of Health and Rehabilitation Research, 4(1), 659–663. https://doi.org/10.61919/jhrr.v4i1.469
Section
Articles
Author Biographies

Pinky, Liaquat University of Medical and Health Sciences Jamshoro Hyderabad Pakistan.

Lecturer, Institute of Physiotherapy and Rehabilitation Sciences.

Kajal Devi, Liaquat University of Medical and Health Sciences Jamshoro Hyderabad Pakistan.

House Officer, Institute of Physiotherapy and Rehabilitation Sciences.

Jotika Chaudary, Liaquat University of Medical and Health Sciences Jamshoro Hyderabad Pakistan.

House Officer, Institute of Physiotherapy and Rehabilitation Sciences.

Sumran Rangwani, Liaquat University of Medical and Health Sciences Jamshoro Hyderabad Pakistan.

House officer, Institute of Physiotherapy and Rehabilitation Sciences.

Hina Rafique, Memon Medical Hospital Karachi Pakistan.

House Officer, Department of Physical & Rehabilitative Medicine.

Maryam Farooqi, Liaquat University of Medical and Health Sciences Jamshoro Hyderabad Pakistan.

House officer, Institute of Physiotherapy and Rehabilitation Sciences.

References

Olewnik Ł, Podgórski M, Polguj M, Wysiadecki G, Topol M. Anatomical variations of the pronator teres muscle in a Central European population and its clinical significance. Anatomical Science International. 2018;93:299-306.

Babaei-Ghazani A, Roomizadeh P, Forogh B, Moeini-Taba S-M, Abedini A, Kadkhodaie M, et al. Ultrasound-guided versus landmark-guided local corticosteroid injection for carpal tunnel syndrome: a systematic review and meta-analysis of randomized controlled trials. Archives of physical medicine and rehabilitation. 2018;99(4):766-75.

Shojaie P, Botchu R, Iyengar K, Drakonaki E, Sharma GK. Ultrasound-guided median nerve hydrodissection of pronator teres syndrome: a case report and a literature review. Journal of Ultrasonography. 2023;23(94):e165-e9.

Balcerzak AA, Ruzik K, Tubbs RS, Konschake M, Podgórski M, Borowski A, et al. How to differentiate pronator syndrome from carpal tunnel syndrome: a comprehensive clinical comparison. Diagnostics. 2022;12(10):2433.

Strohl AB, Zelouf DS. Ulnar tunnel syndrome, radial tunnel syndrome, anterior interosseous nerve syndrome, and pronator syndrome. Journal of the American Academy of Orthopaedic Surgeons. 2017;25(1):e1-e10.

Mushtaq F, Farooq MM, Gulzar K, Islam F, Asgher S, Kalsoom F. Comparison of Handgrip Strength among Diabetes Mellitus with and without Cervical Radiculopathy. Pakistan Journal of Medical & Health Sciences. 2023;17(06):264-.

Özdemir A, Güleç A, Yurteri A, Odabaşı E, Acar MA. Effect of pronator teres muscle botulinum neurotoxin type-A injection on proximal median nerve entrapment. Hand Surgery and Rehabilitation. 2023:101604.

Chyrka IL, Lemeshov OS. Clinical features and surgical treatment of combination of pronator teres syndrome and carpal tunnel syndrome. Ukrainian Neurosurgical Journal. 2023;29:N2.

Binder H, Zadra A, Popp D, Komjati M, Tiefenboeck TM. Outcome of surgical treated isolated pronator teres syndromes—a retrospective cohort study and complete review of the literature. International Journal of Environmental Research and Public Health. 2021;19(1):80.

Creighton A, Cheng J, Press J. Upper body injuries in golfers. Current Reviews in Musculoskeletal Medicine. 2022;15(6):483-99.

Adler JA, Wolf JM. Proximal median nerve compression: pronator syndrome. The Journal of Hand Surgery. 2020;45(12):1157-65.

Özdemir A, Acar MA, Güleç A, Durgut F, Cebeci H. Clinical, radiological, and electrodiagnostic diagnosis of pronator syndrome concurrent with carpal tunnel syndrome. The Journal of Hand Surgery. 2020;45(12):1141-7.

Fernández-de-Las-Peñas C, López-de-Celis C, Rodríguez-Sanz J, Hidalgo-García C, Donelly JM, Cedeño-Bermúdez SA, et al. Safety of Dry Needling of the Pronator Teres Muscle in Cadavers: A Potential Treatment for Pronator Syndrome. Pain Medicine. 2022;23(6):1158-61.

Palumbo F, Yamamoto M, Hirata H. Multiple tendon transfer for a case of radial nerve palsy in hereditary neuropathy with liability to pressure palsy. Nagoya Journal of Medical Science. 2023;85(1):204.

Chu E, Kim Y-S, Hill G, Kim YH, Kim CK, Shim JK. Wrist resistance training improves motor control and strength. The Journal of Strength & Conditioning Research. 2018;32(4):962-9.

Babaei-Ghazani A, Roomizadeh P, Nouri E, Raeisi G, Yousefi N, Asilian-Mahabadi M, et al. Ultrasonographic reference values for the median nerve at the level of pronator teres muscle. Surgical and Radiologic Anatomy. 2018;40:1019-24.

Ng AJT, Chandrasekaran R, Prakash A, Mogali SR. A systematic review: Normative reference values of the median nerve cross-sectional area using ultrasonography in healthy individuals. Scientific Reports. 2022;12(1):9217.

Talebi GA, Saadat P, Javadian Y, Taghipour M. Manual therapy in the treatment of carpal tunnel syndrome in diabetic patients: A randomized clinical trial. Caspian Journal of Internal Medicine. 2018;9(3):283.

Hong SW, Baek J-H, Kim K, Kang J-H. Complex interplay of oral health, muscle and bone metabolism, and frailty in older individuals. Clinical oral investigations. 2024;28(1):1-10.

Tokuçoğlu F, Diniz G. Peripheral Neuropathies. Clues for Differential Diagnosis of Neuromuscular Disorders: Springer; 2023. p. 125-68.

Knoedler TG, Gaertner AP, Wilkinson PJ, Neil Salvapongse A. Incidence, Prevalence, and Outcomes of Hand Manifestations in Patients With Diabetes Mellitus: A Comprehensive Literature Review. HAND. 2024:15589447231219522.

Elwakil W, Sultan HE, Hassan M, Elshafei M, Hammad E. Ulnar nerve involvement at the wrist in idiopathic mild to moderate carpal tunnel syndrome: electrophysiological and ultrasonographic study. Egyptian Rheumatology and Rehabilitation. 2024;51(1):3.