A Case Control Study of Ultrasound Evaluation of shoulder Joint among Diabetic and Non-Diabetic Patients | ||
| The Medical Journal of Cairo University | ||
| Volume 90, Issue 9, September 2022 PDF (191.74 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2022.264325 | ||
| Authors | ||
| NOUR M.M. KANDIL, M.D.; ISLAM E. ELSHEWI, M.D.; HODA M. ABBAS, M.D. | ||
| The Department of Radiology, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Abstract Background: Musculoskeletal disorders are one of the most common complications in diabetic patients. The most common complaints are shoulder pain and limitation of movement. Aim of Study: The aim of this study is to evaluate the diagnostic performance of high-resolution ultrasound in the diagnosis of shoulder joint pain in diabetic patients. Material and Methods: This study was performed on 48 adult type 2 diabetic patients who were complaining of shoulder pain and/or limitation of shoulder movement. Greyscale sonography was done, comparing the results with fifty control subjects. Results: Supraspinatus tendon thickness (SST) was sig-nificantly greater in diabetics than in controls (p<0.001). There was no significant correlation between shoulder pain, clinical limitation of movement of the shoulder joint, and ultrasound findings in the diabetic group (p-value >0.05). However, there were significant SST tears, subacromial bursitis, and limitation of movement of SST ultrasound findings in older diabetic patients than in younger ones with a p-value (<0.05). In the diabetic patients, ultrasound revealed a sensi-tivity of 82.6% in detecting the underlying cause of shoulder pain. Also, it showed a 67.4% sensitivity and 50% specificity in the detection of the underlying cause of shoulder limitation of movement. Conclusion: Ultrasound may be a high-quality diagnostic tool for diabetes individuals with shoulder joint disorders. | ||
| Keywords | ||
| High; Resolution ultrasonography; Shoulder pain; Diabetic patient | ||
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