https://imcjms.com/public Ibrahim Medical College Journal of Medical Science https://imcjms.com/public/registration/journal_full_text/125 Mon, 31 Oct 2016 12:02:50 +0000 Ibrahim Med. Coll. J. 2008; 2(2): 65-66 Key Words: Musculoskeletal (MSK) disorders, diabetic patients, BIRDEM Introduction Diabetes is a multi-system disorder affecting 3 -7% of the adult population in different geographical areas.1,2 Diabetic patients may present with various MSK disorders. Adhesive capsulitis of shoulder joint is well established as a complication of diabetes.3,4 Trigger finger, catching and snapping of the fingers and complications involving joints e.g. Charcot’s arthropathy are frequent in diabetic patients.5,6 The aim of this study was to find out the pattern of MSK disorders among the Bangladeshi diabetic patients attending the Department of Physical Medicine and Rehabilitation of a tertiary care hospital in Dhaka. Materials and Methods Diabetic patients with complains of MSK disorders attending the Department of Physical Medicine and Rehabilitation of  Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM) between January – December 2005 were included  in the study.  Patients were categorized according to the criteria of American Rheumatology Association based on history, clinical examination and relevant investigations. Results A total of 2062 patients with MSK disorders were studied. Out of them 927 (44.9%) were males and 1135 (55.1%) were females. Out of 2062 patients, 31.9% were between the age group of 41-50 years and 29.8% was between 51 - 60 years.  Majority were house wives (56.5%) followed by retired servicemen (16.3%), service holders (13.8%), businessmen (7.4%) and teachers (2.3%). Rheumatoid arthritis was the commonest (20.1%) inflammatory arthropathy while lumber and cervical spondylosis constituted about 37% of all disorders. Details of the common MSK disorders are presented in Table-1. Table-1: Common MSK disorders among diabetic patients (n=2062) Number Rheumatoid arthritis 20.1 394 Cervical spondylosis 18.3 341 Osteoarthritis of knee joint 8.1 102 Trigger fingers 3.9 65 Planter fosciitis 3.1 54     1.  Report of a WHO consultation. Definition, diagnosis and classification of diabetes mellitus and its complications 1999; 2. 3.  Arkkila PE, Kantolac M, Vikari JS et al. Shoulder copsulitis in type I and type II diabetic patients associated with diabetic complications and related diseases. Ann Rheum Dis 1996; 55: 907. 5.  Benedetti A, Noacco C, Simonutti M, Taboga C Diabetic trigger finger. N Engl J Med 1982; 306: 1552. 7.  Alam MN, Haq SA, Moyeenuzzaman M et al. Rheumatological disorders in IPGMR. Bangladesh J Medicine 1996; 7: 1-7. 9.  Sucur A. Evaluating the magnitude of socio-medical problem of rheumatic diseases in adult urban population. Acta Med Lugosl 1990; 44: 407-4. 2026 Ibrahim Medical College. All rights reserved.