Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus

Department of Trauma and Orthopaedic Surgery, Glasgow Royal Infirmary, Glasgow, Scotland.
Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] (Impact Factor: 2.29). 11/2007; 16(6):748-51. DOI: 10.1016/j.jse.2007.02.133
Source: PubMed


Diabetes mellitus is a known risk factor for frozen shoulder. This study was performed to quantify this association and test any relationship with other risk factors for diabetic complications. Patients attending diabetic (n = 865) and general medical (n = 202) clinics were interviewed and examined. External rotation was measured in both shoulders. Glycated hemoglobin A(1c) was measured in all diabetic patients. Frozen shoulder was defined as pain for more than 3 months and external rotation of less than 50% of the unaffected shoulder. Bilateral frozen shoulder was defined as external rotation of less than 30 degrees in both shoulders. Shoulder pain was present in 25.7% of diabetic patients compared with 5.0% of general medical patients. The criteria for frozen shoulder were fulfilled in 4.3% of diabetic patients and in 0.5% of the general medical patients. Only duration of diabetes had a positive association. The prevalence of painful or stiff shoulder was greater in diabetic patients than general medical patients. The prevalence of frozen shoulder is less than previously reported but still greater in diabetic patients.

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Available from: Miles Fisher, Oct 17, 2014
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    • "Lundbaek (1957) first described the association between shoulder pain and diabetes mellitus. It was noted that the incidence of adhesive capsulitis was two to four times higher in patients with diabetes than in the general population, and it has been described as the most disabling of the common musculoskeletal manifestations of this disease, affecting up to 58% of people within this population (Thomas et al, 2007; Laslett et al, 2008). In addition, older female patients with diabetes were more likely to report shoulder pain or disability (Laslett et al, 2008). "

    Physical Therapy Perspectives in the 21st Century - Challenges and Possibilities, 04/2012; , ISBN: 978-953-51-0459-9
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    • "The presence and severity of adhesive capsulitis in diabetic patients are reportedly correlated with age, the duration of diabetes mellitus (DM), existing neuropathies and hand problems (Arkkila et al. 1996; Balci et al. 1999). A large population survey found that 25.7% of diabetic patients had shoulder pain, but only 4.3% of diabetic patients fulfilled the criteria of a frozen shoulder (Thomas et al. 2007). It is reasonable to propose that a significant proportion of diabetic patients with shoulder pain may suffer from other shoulder pathologies. "
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