THE INCIDENCE OF FROZEN SHOULDER IN DIABETES MELLITUS

Abstract

Introduction: Frozen shoulder medically referred to as adhesive capsulitis, is a disorder in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff. Movements of the shoulder are severely restricted, especially abduction and external rotation with progressive loss of both active and passive range of motion. Muscular and skeletal problems occur among people with long-standing, poorly controlled diabetes. Sometimes the problems are very painful like frozen shoulder. One theory about frozen shoulder in diabetes says that glucose (sugar) molecules get attach to collagen and this abnormal deposits of collagen in the cartilage and tendons of the shoulder causes the affected shoulder to stiffen up. Objectives: The objective of study was to determine the frequency of frozen shoulder in diabetic patients. Study Design: Observational study was conducted and the data was collected from Diabetic patients who came to diabetic center. Setting: The study was conducted at the Diabetic clinic of Lahore Jinnah Hospital. Period: 3 months after the approval of synopsis. Material and Methods: A set of questions was developed with the help of supervisor, senior teachers, books and doctors to get information from diabetic patient. Variables included in questionnaire were Age, Gender, Socio-economic status, History of diabetics and other variables according to frozen shoulder. The data was collected from 50 patients by direct personal approach method. Data was collected from both male and female patients. Result: Result showed that thirteen out of fifty diabetic patients were having frozen shoulder. When gender ratio was analyzed from collected data, it showed that females were more victim of frozen shoulder than male with frequency of 8 and 5 respectively. Right hand was seem to be more involved than left. Right hand was 61.5% involved and left hand was 38.5% involved. Nature of pain was seen more localized with 69.2% and radiating with 30.8%. Among thirteen, nine patients were having were having sleep disturbance. Conclusion: Only thirteen diabetic patients were suffering from frozen shoulder. This shows that incidence of Frozen Shoulder was not very high in diabetic patients.