Wednesday, June 6, 2012

Effects of Glycemic Control on Prevalence of Diabetic Frozen Shoulder - JBJS

Effects of Glycemic Control on Prevalence of Diabetic Frozen Shoulder was recently published by JBJS.

It is well known that individuals with diabetes are at increased risk of having a frozen shoulder and that frozen shoulders in these individuals are often more difficult to manage with therapy or with surgery. These authors sought to answer the question of whether control of the diabetes was related to the development of frozen shoulder. They reviewed 201,513 diabetic patients and found 1150 with a diagnosis of frozen shoulder. There was no significant relationship between HbA1c level and the prevalence of frozen shoulder. The frequency of frozen shoulder was almost twice as high in insulin-dependent patients than non-insulin-dependent diabetic patients. The incidence of frozen shoulder was also higher in those taking oral hypoglycemic drugs than those who were not. It was also more common for those who had had diabetes for 10 or more years. The prevalence of end-stage diabetic manifestations was increased in patients with frozen shoulder as compared with those without frozen shoulder.

These data suggest that the severity of the diabetes, but not the degree of diabetic control, and the incidence of frozen shoulder are closely related.


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