Abstract

Aims of the study: to investigate the prevalence of musculoskeletal disorders in patient with diabetes mellitus with the aid of the (Spectrum of diabetic patients in orthopaedic unit) questionnaire, and to compare the results with results previously published from studies performed in other populations. Methods: This is a clinical descriptive study which hade been carried on 200 diabetic patients, 79 male , and 121 female with different musculoskeletal manifestations due to long term poorly controlled diabetes mellitus. I divide the patients according to the age range, 8 patients (20-29 years), 15 patients(30-39years), 34 patients(40-49 years), 65 patients(50-59), 54 patients(60-69 years) and 24 patients from 70 years and above. Those randomized patients have different types of diabetes mellitus, 21 patients have IDDM, 178 patients have NIDDM, one patient have MODY and 0 patient have GD.26 patients have good control of diabetes and 174 have bad control. 59 patients have oral hypoglycemic agents as treatment of diabetes mellitus, 75 have insulin therapy, 64 patients have both insulin and oral hypoglycemic agents and 2 patients have just diet control. Those randomized patients comes from Al basrah general hospital, Alsader teaching hospital in Basrah, Almoane hospital in Basrah and Alhusain teaching hospital in karbela from both medical and orthopaedic department, 157 outpatients and 43 inpatients. Result: I found different orthopaedic complaints in different age groups both male and female. All this associated with long term and poorly control diabetes mellitus.In the upper limb 32 patients have frozen shoulder, 3 patients Reflex sympathetic dystrophy, 23 patients have carpal tunnel syndrom, 19 patients have trigger finger, 4 patients have olecranon bursitis, 16 patients have cheiroarthropathy, 24 patients have De-quervens disease, 11 patients have tennis elebow and 26 patients have dupuytrens contracture. In the lower limb 11 patients have trochantric bursitis, 23 patients have charcots joint, 64 patients have diabetic foot, 15 patients have plantar fasciitis, 3 patients have tarsal tunnel syndrom and 6 patients have Foot deformities. IN the spine 26 patients have Diffuse idiopathic skeletal hyperosteosis.I found also others orhopaedic complains, 24 patients have muscle cramp, 39 patients have Osteoporosis, 32 patients have Osteomylitis, 5 patients have Septic arthritis, 5 patients have Gout and psudogout, 85 patients have peripheral neuropathy, 53 patients have vascular complication and 5 patients have myopathy

Keywords

Diabetic, Spectrum, Orthopaedic unit.