Frozen Shoulder und Schulter-Hand-Syndrom bei Diabetes mellitus

2008 ◽  
Vol 28 (04) ◽  
pp. 210-212
Author(s):  
R. Schiel
Keyword(s):  
Diabetes Mellitus ◽  
Frozen Shoulder ◽  
Antiinflammatorische Medikamente

Zusammenfassung„Frozen Shoulder” wird ausgelöst durch Degenerationen des Sehnen- und Bandapparates oder Kapselschrumpfung des Schultergelenks. Es resultiert eingeschränkte Beweglichkeit mit intraartikulären Kontrakturen und Kontrakturen der Muskel-Sehnen-Einheiten oder extraartikulären Adhäsionen. Gelegentlich ist der Verlauf assoziiert mit entzünd-lichen Veränderungen, Schmerzen und einem Schulter-Hand-Syndrom. Bei Patienten mit Langzeit-Diabetes treten „Frozen Shoulder” oder Schulter-Hand-Syndrom gehäuft und früher auf. Ursache sind Alterationen der kollagenen Bindegewebsstrukturen. Bei akuter Schmerzsymptomatik werden antiinflammatorische Medikamente, z.T. auch in-traartikuläre Applikationen von Kortikosteroiden, empfohlen. Es soll Schmerzlinderung erfolgen, Bewegungsfähigkeit hergestellt und Physiotherapie angewendet werden. Weiterhin werden intraartikuläre Glukokortikoidinjektionen, Gelenkkapseldistensionen und bei refraktären Be-schwerden Injektionen in subakromiale Schleimbeutel an-gewandt. Eine relativ neue Therapieoption, zu der erste Da-ten publiziert wurden, stellt die Gabe von Triamcinolonace-tat dar.

scholarly journals Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus?

2017 ◽  
Vol 5 (7) ◽  
pp. 232596711771645 ◽  
Author(s):  
Ori Safran ◽  
Madi El-Haj ◽  
Gil Leibowitz ◽  
Shaul Beyth ◽  
Zohar Furman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Frozen Shoulder

Prevalence and Impact of Diabetes Mellitus on the Frozen Shoulder

2018 ◽  
Vol 111 (11) ◽  
pp. 654-659 ◽  
Author(s):  
Per H. Gundtoft ◽  
Anne K. Kristensen ◽  
Mikkel Attrup ◽  
Jette W. Vobbe ◽  
Torben Luxhøi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Frozen Shoulder

scholarly journals A case study of frequent leech application in diabetes mellitus with special reference to frozen shoulder

2018 ◽  
Vol 6 (02) ◽  
Author(s):  
Rashmi Anil Kale ◽  
Chetan Pralhad Agrawal
Keyword(s):  
Diabetes Mellitus ◽  
Severe Pain ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Limited Range ◽  
Shoulder Impingement ◽  
Rotator Cuff Tendinitis ◽  
Shoulder Region ◽  
Aggregation Inhibitor

In Frozen Shoulder (adhesive capsulitis), there is stiffness, pain and limited range of movements. It may happen after an injury, overuse of joint, from a disease such as diabetes or a stroke. Diabetes mellitus is a group of metabolic disorder with involvement of musculoskeletal system. In which most common is frozen shoulder. In frozen shoulder raise sugar in blood stick to collagen and restrict the movements. In first stage of frozen shoulder, Inflammation of capsule is present with severe pain.           Various diseases like Shoulder Impingement, Frozen Shoulder, and Rotator cuff tendinitis have resembling symptoms under the umbrella of disease Avabahuka described in Ayurveda. In Avabahuka there is Vata-Kapha dushti still Leech application was carried out in first stage of Frozen Shoulder. Leech application is indicated in Pittaj Dushthi and Hirudine present in saliva of Leech helpful in platelet aggregation inhibitor. Hence increase in blood supply to shoulder region may arrest fibrosis of capsule. Aim- Study the efficacy of Leech application in Frozen Shoulder in Diabetes Mellitus. Objective- To study the efficacy of frequent Leech application in the management of pain and range of motion of shoulder joint in Diabetes Mellitus. Hypothesis- Leech application is effective in Frozen Shoulder caused by diabetes Mellitus.  

scholarly journals The Frozen Shoulder: Myths and Realities

2013 ◽  
Vol 7 (1) ◽  
pp. 352-355 ◽  
Author(s):  
Mathias Thomas Nagy ◽  
Robert J. MacFarlane ◽  
Yousaf Khan ◽  
Mohammad Waseem
Keyword(s):  
Diabetes Mellitus ◽  
Operative Treatment ◽  
Treatment Options ◽  
Frozen Shoulder ◽  
Arthroscopic Release ◽  
Manipulation Under Anaesthesia ◽  
Three Stages ◽  
Limiting Condition

Frozen shoulder is a common, disabling but self-limiting condition, which typically presents in three stages and ends in resolution. Frozen shoulder is classified as primary (idiopathic) or secondary cases. The aetiology for primary frozen shoulder remains unknown. It is frequently associated with other systemic conditions, most commonly diabetes mellitus, or following periods of immobilisation e.g. stroke disease. Frozen shoulder is usually diagnosed clinically requiring little investigation. Management is controversial and depends on the phase of the condition. Non-operative treatment options for frozen shoulder include analgesia, physiotherapy, oral or intra-articular corticosteroids, and intra-articular distension injections. Operative options include manipulation under anaesthesia and arthroscopic release and are generally reserved for refractory cases.

The outcome of manipulation under general anesthesia for the management of frozen shoulder in patients with diabetes mellitus

2012 ◽  
Vol 21 (11) ◽  
pp. 1492-1498 ◽  
Author(s):  
Emily F. Jenkins ◽  
William J.C. Thomas ◽  
John P. Corcoran ◽  
Ravisankar Kirubanandan ◽  
Celia R. Beynon ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
General Anesthesia ◽  
Frozen Shoulder ◽  
Patients With Diabetes

scholarly journals 33 Diabetes mellitus affect the prognosis of frozen shoulder: a 2 year follow-up study

2019 ◽  
Author(s):  
Per Gundtoft ◽  
Mikkel Lindegaard Attrup ◽  
Anne Krog Kristensen ◽  
Jette Wessel Vobbe ◽  
per Hölmich ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Frozen Shoulder ◽  
Follow Up Study

scholarly journals Analytical Observational Study of Frozen Shoulder among Patients with Diabetes Mellitus

Joints ◽  
2018 ◽  
Vol 06 (03) ◽  
pp. 141-144 ◽  
Author(s):  
Redha Alhashimi
Keyword(s):  
Diabetes Mellitus ◽  
Observational Study ◽  
Strong Association ◽  
Frozen Shoulder ◽  
Chronic Phase ◽  
Medical Rehabilitation ◽  
Occurrence Rate ◽  
Diabetic Patients ◽  
Level Of Evidence ◽  
Number Of Patients

Purpose This study aims to identify the prevalence of frozen shoulder (FS) among diabetic patients and its relation to demographic features. Methods This observational study of 216 patients randomly included those with diabetes mellitus (DM) attending the Misan Rheumatology and Medical Rehabilitation Department at Al-Sadder Teaching Hospital in Misan Province of Iraq and was conducted during the period from April 2014 to March 2015. Detailed medical histories were taken from patients and scratch test and hemoglobin A1C were used in diagnostic procedure to confirm diagnosis of FS and DM, respectively. Results The occurrence rate of FS was 11.5% among patients, with a higher prevalence in females versus males. The most commonly afflicted age group was 60 to 70 years old at 33.3%. Dominant shoulder was more commonly affected than nondominant one. DM presented in large number of patients with FS with a prevalence of 90.3% of cases. The onset of FS in patients with DM was most common within the chronic phase of the disease at 32.3 and 33.8% for durations of 1 to 5 and 5 to 10 years, respectively. Conclusion There is a strong association between DM and FS. Females were more commonly affected than males. Aging increased shoulder disorder distribution with dominant side being mostly affected. Chronic and noncontrolling diabetic patients were more commonly affected. Level of Evidence This is a Level III, analytical, observational study.

scholarly journals Pattern of Musculoskeletal Disorders in Adult Diabetics patient

2019 ◽  
Vol 48 (1) ◽  
pp. 5-12
Author(s):  
Shaila Sharmin ◽  
Fatema Newaz ◽  
Syed Mozaffor Ahmed ◽  
Abu Shahin ◽  
Md Israt Hasan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Musculoskeletal Disorders ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Physical Medicine ◽  
Osteoarthritis Of Knee ◽  
Physical Medicine And Rehabilitation ◽  
Group A ◽  
Group B ◽  
Flexor Tenosynovitis

Diabetes mellitus is associated with several musculoskeletal (MSK) disorders. Due to increased incidence and life expectancy causes increased prevalence and clinical importance of MSK alterations in diabetic subjects. It is difficult to find out the direct relation with metabolic control. This study was conducted to explore the pattern of musculoskeletal disorders in the diabetic patients. A cross-sectional study was conducted from January' 2016 to June' 2016 at Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka with 190 cases divided in two groups. Patients aged 40-70 years with musculoskeletal disorder with diabetes mellitus (type 2) for five years attending in the department of Physical Medicine and Rehabilitation were included in group A. Patients with MSK disorder without diabetes aged 40- 70 years were included in group B. Main outcome measures were done by Chi square test and unpaired t test were calculated by using SPSS-20. Out of 190 patients, more than half (53.68%) patients were belonged to age 51- 60 years in group A and 49(51.58%) in group B. Majority (56.84%) patients were female in group A and 43(45.26%) in group B. Twenty three (24.21%) patients were house wives in group A and 25(26.32%) in group B. Fifty two (54.73%) patients had osteoarthritis of knee in group A and 26(27.36%) in group B. Twenty one (22.11%) patients had frozen shoulder in group A and 9(9.47%) in group B. Sixteen (16.84%) patients had Flexor tenosynovitis in group A and 04(4.21%) in group B. Fifteen (15.78%) patients had Fibromyalgia in group A and 05(5.26%) in group B. Twelve (12.63%) patients had Planter fascities in group A and 03(3.16%) in group B. Which were statistically significant (p<0.05) but other musculoskeletal disorders were not statistically significant (p>0.05) between two groups. More than half patients were belonged to age 51-60 years and female were predominate in both groups. Common musculoskeletal disorders in diabetic patients were osteoarthritis of knee, frozen shoulder, Flexor tenosynovitis, Fibromyalgia, Planter fascities, Rheumatoid arthritis, Carpel tunnel syndrome, Lumbar spondylosis, Cervicalspondylosis and DISH. This study will also be helpful for different organizations working in this area including physiatrist in their program for delivering a comprehensive treatment service. As a result patients were more benefited. Bangladesh Med J. 2019 Jan; 48 (1): 5-12

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