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The painful diabetic shoulder.

I Morén-Hybbinette, U Moritz, B Scherstén

    Acta Medica Scandinavica
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Diabetic patients with shoulder pain often have advanced diabetes, with common shoulder joint disorders, hand symptoms, and hip mobility issues. These symptoms correlate with other diabetic complications like retinopathy and neuropathy.

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    Area of Science:

    • Orthopedics
    • Endocrinology
    • Diabetology

    Background:

    • Shoulder pain is a frequent complaint among diabetic patients.
    • Diabetic shoulder affections can significantly impact mobility and quality of life.

    Purpose of the Study:

    • To investigate the types and prevalence of shoulder affections in diabetic patients.
    • To explore the relationship between shoulder disorders and other diabetic complications.

    Main Methods:

    • A study involving 62 diabetic patients presenting with shoulder pain.
    • Classification of shoulder joint disorders into distinct groups.
    • Assessment of associated symptoms like hand and hip mobility issues.
    • Correlation analysis with diabetic complications such as retinopathy and neuropathy.

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    Main Results:

    • 62% of patients had painful shoulders with restricted mobility; 27% had tendinitis without mobility restriction.
    • High frequencies of hand symptoms (60%) and hip joint mobility restriction (38%) were observed.
    • Diabetic shoulder affection occurred similarly in insulin-dependent and non-insulin-dependent patients, but with shorter diabetes duration in the latter.
    • A triad of shoulder pain, hand symptoms, and hip mobility issues was linked to a higher frequency of proliferative retinopathy.

    Conclusions:

    • Diabetic patients with painful, restricted shoulders often have clinically advanced diabetes mellitus.
    • Shoulder affections in diabetics are associated with significant systemic complications.
    • Early recognition and management of shoulder issues may be crucial in advanced diabetes care.