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The stiff shoulder in diabetic patients
Juan Pons-Villanueva1, Javier Escalada San Martín2
1Department of Orthopedic Surgery and Traumatology, Clínica Universidad de Navarra, Pamplona, Spain.
International Journal of Rheumatic Diseases
|June 17, 2016
Summary
Diabetic shoulder stiffness, a fibrotic complication of diabetes mellitus, causes pain and limited motion. Awareness of its course and treatments is crucial for effective patient management.
Area of Science:
- Endocrinology
- Rheumatology
- Diabetology
Background:
- Shoulder stiffness is a recognized complication linked to diabetes mellitus.
- This condition involves pain and restricted active/passive range of motion.
- It stems from a fibrotic process, similar to other diabetic complications like arterial stiffness.
Purpose of the Study:
- To elucidate the nature of shoulder stiffness in diabetic patients.
- To review the natural history and clinical course of this complication.
- To outline current and potential treatment strategies for diabetic shoulder stiffness.
Main Methods:
- Literature review of studies on shoulder stiffness and diabetes.
- Analysis of the fibrotic mechanisms involved.
- Synthesis of information on treatment efficacy and patient management.
Main Results:
- Diabetic shoulder stiffness is characterized by pain and significant loss of shoulder mobility.
- The condition is a result of fibrotic changes.
- While generally benign, it can lead to prolonged disability.
Conclusions:
- Healthcare providers must recognize diabetic shoulder stiffness as a complication.
- Understanding its natural history is key for appropriate patient care.
- Tailored treatment, potentially combining multiple options, is recommended for optimal outcomes.
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