Prevalence Of Adhesive Capsulitis Among Diabetic Population In Puducherry

Abstract

Background: An inflammatory condition leading to stiffness and pain in the shoulder joint, adhesive capsulitis is associated with condition is associated with condition such as diabetes mellitus, cervical spondylosis, thyroid dysfunction, autoimmune rheumatic disease, and shoulder injury due to trauma, fracture, rotator cuff tear, surgery, or immobilization. Diabetics have a higher prevalence of adhesive capsulitis than the general population, and these individuals are less responsive to therapy and have a larger range of motion limitations.

Objectives: To find out the prevalence of adhesive capsulitis among diabetic population.

Methods: The present cross-sectional study was carried out at the Department of General medicine and diabetic OPD in MGMCRI. Type 2 diabetes mellitus was labeled by HbA1c of more than 7.0%, or two random blood glucose levels of 200 mg/dL or more, or an existing diagnosis of diabetes mellitus, and/or use of anti-hyperglycemic therapy. Adhesive capsulitis was diagnosed clinically based on history (gradual onset shoulder pain with limitation of movements) and examination (reduction in active and passive range of motion (ROM) of the shoulder, especially abduction, internal rotation, and external rotation) in the absence of significant abnormalities on shoulder X-ray.

Result: The prevalence of diabetes in patients with adhesive capsulitis was 40% (34 of 88). The total prevalence of a diabetic condition in patients with adhesive capsulitis was 71.5% (63 of 88). Previous literature fails to reveal the incidence of newly diagnosed diabetes, 2 of 88 (2%), and prediabetes, 25 of 88 (28.4%) in patients presenting with adhesive capsulitis.

Conclusion: The prevalence of adhesive capsulitis among diabetic mellitus female is high in Puducherry.