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Background Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia, which results from defects in insulin secretion, insulin action, or both (1). DM impacts the connective tissue and causes various changes in peri-articular and articular structures.An increase in enthesopathic complications in diabetic patients such as patellar tendinitis bursitis, achilles tendinopathy and plantar fasciitis, was observed In many studies. Objectives This study aims to detect subclinical lower limb enthesitis in type 2 DM by musculoskeletal ultrasonography & its relation to poor glycemic control & disease duration Methods This study was carried out on 80 persons. Diabatic group forty patients diagnosed as diabetes according to ADA diagnostic criteria. Control group Forty apparent healthy volunteers both groups was matched at age and sex.Sonographic evaluations and scoring were performed according to Glasgow Ultrasound Enthesitis Scoring System(GUESS) on the enthses of both lower limbs. Results At the diabetic group the Musculoskeletal Ultrasound findings was as following. The Quariceps tendon enthesitis in 30 patients (75%), proximal patellar enthesitis was in 28 patients (70%), Distal patellar enthesitis in 22 patients (55%), Achilles enthesitis in 27 patients (67.5) & planter aponeurosis enthesitis in 25 patients (55%).There is a statistically significant difference between age and Ultrasound findings p. value Conclusion Entheseal abnormalities can be documented by ultrasonography in clinically asymptomatic patients with Diabetes. These findings could be related to a subclinical entheseal inflammation. References [1] Okur SC, YaseminPekinDogan, Murat Mert, OzgeAksu, OzerBurnaz, Nil SayinerCaglar(2017): Ultrasonographic Evaluation of Lower Extremity Entheseal Sites in Diabetic Patients Using Glasgow Ultrasound Enthesitis Scoring System Score, Journal of Medical Ultrasound (2017), http://dx.doi.org/10.1016/j.jmu..03.011 [2] SMITH, L., BURNET, S. & MCNEIL, J. (2003): Musculoskeletal manifestations of diabetes mellitus. British journal of sports medicine, 37, 30-35. Disclosure of Interests None declared |
