Login Ahmed S Alabdali1,2, Jasmien Jaeken3, Nens van Alfen4, Geert-Jan Dinant1, Rob A P Borghans5, Ramon P G Ottenheijm1. 1. Department of Family Medicine, CAPHRI Care and Public Health Research Institute, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. 2. Ministry of Education, Riyadh 12435, Saudi Arabia. 3. Department of Public Health and Primary Care, Catholic University of Leuven, Kapucijnenvoer 33, B-3000 Leuven, Belgium. 4. Department of Neurology and Clinical Neurophysiology, Radboud University Medical Center, Donders Institute for Brain Cognition and Behaviour, 6500 HB Nijmegen, The Netherlands. 5. Department of Radiology, Zuyderland Medical Centre, 6162 BG Sittard-Geleen, The Netherlands.
Abstract
BACKGROUND: Patients with diabetes mellitus have higher risk of developing shoulder pathology. However, only adhesive capsulitis is addressed in shoulder pain guidelines as a disorder associated with diabetes. Yet, patients with diabetes are at risk of having several other shoulder disorders, including focal neuropathy. Our aim was to quantify the presence of shoulder disorders using physical examination and ultrasound imaging in patients with type 2 diabetes (T2DM) suffering from shoulder pain in general practice. METHODS: In this prospective cross-sectional study, patients with T2DM who had had a painful shoulder for at least four weeks were included. Patients filled out a questionnaire and underwent a physical examination of the shoulders and feet and ultrasound imaging of the shoulder. RESULTS: A total of 66 patients were included, of whom 40.9% (n = 27) had bilateral complaints resulting in 93 symptomatic shoulders. Subacromial pain syndrome was most frequently diagnosed by physical examination (66.6%, 95% CI 51.6-72.0%; p < 0.0001), while ultrasound imaging showed that subacromial disorders were statistically significantly the most prevalent (90.3%, 95% CI 81.9-95.2%). Only two patients (3%) were diagnosed with neuropathic shoulder pain. CONCLUSION: When choosing treatment, general practitioners should be aware that in patients with T2DM the subacromial region is most frequently affected.
BACKGROUND:Patients with diabetes mellitus have higher risk of developing shoulder pathology. However, only adhesive capsulitis is addressed in shoulder pain guidelines as a disorder associated with diabetes. Yet, patients with diabetes are at risk of having several other shoulder disorders, including focal neuropathy. Our aim was to quantify the presence of shoulder disorders using physical examination and ultrasound imaging in patients with type 2 diabetes (T2DM) suffering from shoulder pain in general practice. METHODS: In this prospective cross-sectional study, patients with T2DM who had had a painful shoulder for at least four weeks were included. Patients filled out a questionnaire and underwent a physical examination of the shoulders and feet and ultrasound imaging of the shoulder. RESULTS: A total of 66 patients were included, of whom 40.9% (n = 27) had bilateral complaints resulting in 93 symptomatic shoulders. Subacromial pain syndrome was most frequently diagnosed by physical examination (66.6%, 95% CI 51.6-72.0%; p < 0.0001), while ultrasound imaging showed that subacromial disorders were statistically significantly the most prevalent (90.3%, 95% CI 81.9-95.2%). Only two patients (3%) were diagnosed with neuropathic shoulder pain. CONCLUSION: When choosing treatment, general practitioners should be aware that in patients with T2DM the subacromial region is most frequently affected.
Authors: Login Ahmed S Alabdali; Bjorn Winkens; Geert-Jan Dinant; Nens van Alfen; Ramon P G Ottenheijm Journal: BMC Musculoskelet Disord Date: 2022-07-14 Impact factor: 2.562