Abstract
AbstractVarious musculoskeletal manifestations have been associated with diabetes mellitus. These include diabetic cheiroarthropathy, adhesive capsulitis, Dupuytren’s contracture, flexor tenosynovitis, carpal tunnel syndrome, reflex sympathetic dystrophy, osteoarthritis of the hand, diffuse idiopathic skeletal hyperostosis, and diabetic myonecrosis. Diabetic cheiroarthropathy refers to limited hand joint mobility due to the deposition of advanced glycation end products in the soft tissues of the hand. Adhesive capsulitis is probably the most debilitating musculoskeletal syndrome associated with diabetes and causes pain as well as functional limitation in the shoulder joint. Flexor tenosynovitis can result in a trigger finger. Carpal tunnel syndrome, reflex sympathetic dystrophy, hand osteoarthritis, and diffuse idiopathic skeletal hyperostosis are more common, and at times more severe, in those with diabetes. Management of these conditions involves the optimization of glycemic control. Physical therapy and intralesional corticosteroid injections form useful adjuncts for therapy.KeywordsDiabetes mellitusMusculoskeletalDiabetic cheiroarthropathyAdhesive capsulitisDupuytren’s contracture
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