East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
Vol. 22, No. 2, 2017, pp. 49-62
Bioline Code: js17023
Full paper language: English
Document type: Research Article
Document available free of charge
East and Central African Journal of Surgery, Vol. 22, No. 2, 2017, pp. 49-62
© Copyright 2017 - East and Central African Journal of Surgery
Epidemiology and clinical profile of common musculoskeletal diseases in patients with diabetes mellitus at Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia|
Wamisho, Biruk L. & Feleke, Yeweyenhareg
Background: Diabetes mellitus (DM) affects connective tissues in many ways and causes
different alterations in periarticular and skeletal systems.
Methods: A cross-sectional study was conducted by interviewing and examining 402
consecutive diabetic patients followed at Tikur Anbessa Hospital OPD. Evaluation was
performed according to the Short Musculoskeletal Function Assessment Questionnaire
(SMFA). The diagnoses were established by Consultant Orthopedic Surgeon.
Results: Average duration of diabetes is 143 months (12 Years) and majority, 66.7%
(268/402) of them are currently on insulin therapy. Mean current FBS is 245mg%. Excluding
OA (47, 11.7%) and CLBP (78, 19.4%), overall prevalence of 1 or more of musculoskeletal
Diseases (MSD) is 41.5 %. Hands were the most affected (74, 18.5 %). Five had amputation.
Hand involvement and sex of the patient and Type of diabetes is significantly associated,
Duration of DM and shoulder involvement are significantly related.
Conclusions: Musculoskeletal manifestations are very high in adult diabetic patients at the
centre and need multidisciplinary clinical attention. Physicians should always consider
examining the periarticular regions of the joints in the hands and feet. Duration of diabetes
is associated with development of shoulder complications.
Recommendations: Routine MSD screening, establishing a foot care clinic and strengthening
diabetic education may prevent development or worsening of MSD.
musculoskeletal complications; diabetic foot; foot care; trigger finger; Dupuytren's contracture; stiff frozen shoulder