Balci N, Balci M K, Tüzüner S
Department of Orthopedics and Trauma Surgery, Medical School of Akdeniz University, Antalya, Turkey.
J Diabetes Complications. 1999 May-Jun;13(3):135-40. doi: 10.1016/s1056-8727(99)00037-9.
This study was done to examine the association between shoulder adhesive capsulitis and chronic diabetic complications and diseases closely related to diabetes in Akdeniz University Hospital. Shoulder adhesive capsulitis were evaluated in 297 consecutive type II diabetic patients attending an outpatient diabetic clinic. Shoulder adhesive capsulitis was detected in 86 patients (29%). There was a significant association between shoulder adhesive capsulitis and limited joint mobility (p = 0.006), shoulder adhesive capsulitis and Dupuytren's disease (p = 0.003). Odds ratios (OR) for carpal tunnel syndrome, limited joint mobility, and Dupuytren's disease with shoulder adhesive capsulitis were respectively 1.4, 2.1, and 2.4 [95% confidence interval (CI), respectively, 0.7-2.9, 1.2-3.69, and 1.3-4.4]. Also, shoulder adhesive capsulitis was associated with the age of patients (p = 0.000) and the duration of diabetes (p = 0.03). When other associations between shoulder adhesive capsulitis and diabetic complications were compared, it was associated with retinopathy [p = 0.014, OR = 2.2 (95% CI 1.1-4.2)], but there was no association with neuropathy or macroproteinuria. On the other hand, the degrees of passive abduction, internal rotation, external rotation motions of shoulder joints in the all patients were correlated with age of patients, duration of diabetes, neuropathy, and the other hands' problems (Dupuytren's disease, limited joint mobility) (p<0.05). The presence of shoulder adhesive capsulitis may indicate presence of organ involvement.
本研究旨在探讨阿克德尼兹大学医院中肩周炎与慢性糖尿病并发症及与糖尿病密切相关疾病之间的关联。对连续就诊于门诊糖尿病诊所的297例II型糖尿病患者进行了肩周炎评估。86例患者（29%）被检测出患有肩周炎。肩周炎与关节活动受限（p = 0.006）、肩周炎与杜普伊特伦挛缩症（p = 0.003）之间存在显著关联。肩周炎患者并发腕管综合征、关节活动受限和杜普伊特伦挛缩症的比值比（OR）分别为1.4、2.1和2.4 [95%置信区间（CI）分别为0.7 - 2.9、1.2 - 3.69和1.3 - 4.4]。此外，肩周炎还与患者年龄（p = 0.000）和糖尿病病程（p = 0.03）有关。当比较肩周炎与其他糖尿病并发症之间的关联时，发现其与视网膜病变有关[p = 0.014，OR = 2.2（95% CI 1.1 - 4.2）]，但与神经病变或大量蛋白尿无关。另一方面，所有患者肩关节的被动外展、内旋、外旋运动程度与患者年龄、糖尿病病程、神经病变以及另一只手的问题（杜普伊特伦挛缩症、关节活动受限）相关（p<0.05）。肩周炎的存在可能表明存在器官受累情况。
