AlOayan Laura I, Zawawi Alia H
Department of Family Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Department of Family Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2020 Nov 30;9(11):5597-5600. doi: 10.4103/jfmpc.jfmpc_654_20. eCollection 2020 Nov.
Diabetes mellitus (DM) is one of the most common diseases worldwide. Patients with DM are prone to develop multiple musculoskeletal (MSK) manifestations, which may lead to disability and an impact on patients' quality of life. These manifestations include but not limited to, adhesive capsulitis, shoulder hand syndrome, diabetic hand syndrome, diffuse idiopathic skeletal hyperostosis, Dupuytren's contracture.
The aim of this study is to assess the prevalence of MSK manifestations in diabetic patients in Saudi Arabia.
The study was carried out in NGHA hospital and PHC in Saudi Arabia.
This is a retrospective study carried out between 2015 and 2019 where all patients with DM type II between the age of 18 and 65 and were diagnosed with MSK manifestations included in the study.
Statistical Package for the Social Sciences (IBM-SPSS) software (Version 23).
A total of 208 patients were found to have MSK manifestations. The average age of patients was 53 years old ranging from (31-63). The mean reading of A1C was 8%. A total of 34.1% were controlled and 65.9% were uncontrolled. Carpal tunnel syndrome (CTS) was found in 10%. Adhesive capsulitis in 2.4%. Septic arthritis in 1%. Trigger finger was found in 7.2%. Osteomyelitis was found in 0.5%. Plantar fasciitis was found in 4.8%. Osteoarthritis (OA) was found in 149 subjects (71.3%). Two subjects had ankle OA, one hand OA, nine shoulder OA, one hip arthritis. The rest had knee OA. Rotator cuff tendonitis was found in 1%. No significant correlation between age, A1c and all the MSK manifestations that were mentioned above ( value >0.05).
MSK manifestations are common among diabetic patients. OA was the most frequently seen disorder. Physicians should be aware of the high prevalence and the huge impact on patients when treating patients with type II DM.
糖尿病（DM）是全球最常见的疾病之一。糖尿病患者容易出现多种肌肉骨骼（MSK）表现，这可能导致残疾并影响患者的生活质量。这些表现包括但不限于黏连性关节囊炎、肩手综合征、糖尿病手综合征、弥漫性特发性骨肥厚、杜普伊特伦挛缩。
本研究的目的是评估沙特阿拉伯糖尿病患者中肌肉骨骼表现的患病率。
该研究在沙特阿拉伯的NGHA医院和初级卫生保健机构进行。
这是一项在2015年至2019年期间开展的回顾性研究，纳入了所有年龄在18至65岁之间且被诊断出有纳入研究的肌肉骨骼表现的II型糖尿病患者。
社会科学统计软件包（IBM-SPSS）软件（版本23）。
共发现208例患者有肌肉骨骼表现。患者的平均年龄为53岁（范围为31 - 63岁）。糖化血红蛋白（A1C）的平均读数为8%。共有34.1%得到控制，65.9%未得到控制。发现10%的患者有腕管综合征（CTS）。2.4%有黏连性关节囊炎。1%有化脓性关节炎。7.2%有扳机指。0.5%有骨髓炎。4.8%有足底筋膜炎。149名受试者（71.3%）有骨关节炎（OA）。两名受试者有踝关节OA，一名有手部OA，九名有肩部OA，一名有髋关节炎。其余患者有膝关节OA。1%有肩袖肌腱炎。年龄、A1C与上述所有肌肉骨骼表现之间无显著相关性（P值>0.05）。
肌肉骨骼表现在糖尿病患者中很常见。骨关节炎是最常见的病症。医生在治疗II型糖尿病患者时应意识到其高患病率以及对患者的巨大影响。
