Arthroscopic Management of Rotator Cuff and Other Shoulder Pathology in Diabetics | ||
| Benha Journal of Applied Sciences | ||
| Article 19, Volume 7, Issue 7, July 2022, Pages 125-130 PDF (647.06 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2022.269832 | ||
| Authors | ||
| M N. Abd ELHalim; G H. Kazem; M M. Karamany | ||
| Orthopedic Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||
| Abstract | ||
| Background: Musculoskeletal disease is one of the most common complications in patients with diabetes, and yet it receives relatively little attention. The severity and the risks of musculoskeletal complications might not be well recognized as cardiovascular complications; however, the associated ailments certainly inflict both physical and psychological harm on people with diabetes. Among the various musculoskeletal diseases, shoulder pain is one of the most common complaints. In general, it is characterized by pain and limited range of motion of one or both shoulders. Shoulder pain not only causes decreased quality of life, but also leads to disability in daily activities, and might interfere directly or indirectly with control of metabolic processes. Two of the most common shoulder disorders are frozen shoulder, also known as adhesive capsulitis‘ and rotator cuff disease. Aim and Objective: To evaluate shoulder arthroscopic surgery in management of rotator cuff and other shoulder pathology in diabetics. Methods: This was a prospective descriptive study which included 20 diabetic patients having rotator cuff and other shoulder pathology treated by shoulder arthroscopic surgery to evaluate its efficacy in management. Preoperative and postoperative evaluations were performed based on history, physical examination, and a modified University of California at Los Angeles (UCLA) score system. Results: At the end of the follow up period, on the modified UCLA shoulder rating scale, 17 of the 20 patients (85%) in this study achieved a satisfactory result and 3 (15%) were not. total UCLA score significantly improved from 15.3 ± 3.47 preoperatively to 30.6 ± 4.24 at the end of follow up (p < 0.001). eight patients (40%) had excellent results, nine patients (45%) had good results, three patients (15%) had fair results and none of the cases were poor. | ||
| Keywords | ||
| shoulder arthroscopy; rotator cuff tear; frozen shoulder | ||
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