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Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus?
BACKGROUND: Idiopathic frozen shoulder (nontraumatic) is commonly encountered in patients between the ages of 35 and 60 years in general orthopaedic practice. While the prevalence of frozen shoulder among the general population is estimated to be between 2% and 4%, a significantly higher prevalence...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5528946/ https://www.ncbi.nlm.nih.gov/pubmed/28812038 http://dx.doi.org/10.1177/2325967117716450 |
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author | Safran, Ori El-Haj, Madi Leibowitz, Gil Beyth, Shaul Furman, Zohar Milgrom, Charles Kandel, Leonid |
author_facet | Safran, Ori El-Haj, Madi Leibowitz, Gil Beyth, Shaul Furman, Zohar Milgrom, Charles Kandel, Leonid |
author_sort | Safran, Ori |
collection | PubMed |
description | BACKGROUND: Idiopathic frozen shoulder (nontraumatic) is commonly encountered in patients between the ages of 35 and 60 years in general orthopaedic practice. While the prevalence of frozen shoulder among the general population is estimated to be between 2% and 4%, a significantly higher prevalence of 10% to 22% has been reported in patients with diabetes mellitus. Since diabetic patients are more prone to develop frozen shoulder than nondiabetics, the question arises as to whether patients diagnosed as having idiopathic frozen shoulder are at greater risk to develop diabetes mellitus and should be routinely screened for this condition. PURPOSE: To compare the prevalence of diabetes mellitus and prediabetes among patients diagnosed with idiopathic frozen shoulder who are not known to have either diabetes mellitus or prediabetic conditions with that of an age-matched group from the general population. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients at a shoulder clinic with a diagnosis of idiopathic frozen shoulder were asked to participate in the study if they were aged between 35 to 60 years and had no known previous diagnosis of diabetes mellitus or prediabetic conditions. These patients underwent a 2-hour oral glucose tolerance test. According to their fasting and 2-hour plasma glucose levels, patients were diagnosed as normal glucose tolerance, prediabetic, or diabetic. Findings were matched with the prevalence in an age-matched general population. RESULTS: Fifty patients completed the test. Four patients with idiopathic frozen shoulder (8%) were found to be prediabetic. No patient was found to be diabetic. All 4 patients reported a history of diabetes in their parents or siblings. CONCLUSION: Patients diagnosed with idiopathic frozen shoulder who are 60 years or younger and are not known diabetics have a similar probability of having diabetes or prediabetes to an age-matched population. No routine diabetic workup is warranted specifically for these patients. |
format | Online Article Text |
id | pubmed-5528946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-55289462017-08-15 Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? Safran, Ori El-Haj, Madi Leibowitz, Gil Beyth, Shaul Furman, Zohar Milgrom, Charles Kandel, Leonid Orthop J Sports Med 8 BACKGROUND: Idiopathic frozen shoulder (nontraumatic) is commonly encountered in patients between the ages of 35 and 60 years in general orthopaedic practice. While the prevalence of frozen shoulder among the general population is estimated to be between 2% and 4%, a significantly higher prevalence of 10% to 22% has been reported in patients with diabetes mellitus. Since diabetic patients are more prone to develop frozen shoulder than nondiabetics, the question arises as to whether patients diagnosed as having idiopathic frozen shoulder are at greater risk to develop diabetes mellitus and should be routinely screened for this condition. PURPOSE: To compare the prevalence of diabetes mellitus and prediabetes among patients diagnosed with idiopathic frozen shoulder who are not known to have either diabetes mellitus or prediabetic conditions with that of an age-matched group from the general population. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients at a shoulder clinic with a diagnosis of idiopathic frozen shoulder were asked to participate in the study if they were aged between 35 to 60 years and had no known previous diagnosis of diabetes mellitus or prediabetic conditions. These patients underwent a 2-hour oral glucose tolerance test. According to their fasting and 2-hour plasma glucose levels, patients were diagnosed as normal glucose tolerance, prediabetic, or diabetic. Findings were matched with the prevalence in an age-matched general population. RESULTS: Fifty patients completed the test. Four patients with idiopathic frozen shoulder (8%) were found to be prediabetic. No patient was found to be diabetic. All 4 patients reported a history of diabetes in their parents or siblings. CONCLUSION: Patients diagnosed with idiopathic frozen shoulder who are 60 years or younger and are not known diabetics have a similar probability of having diabetes or prediabetes to an age-matched population. No routine diabetic workup is warranted specifically for these patients. SAGE Publications 2017-07-11 /pmc/articles/PMC5528946/ /pubmed/28812038 http://dx.doi.org/10.1177/2325967117716450 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | 8 Safran, Ori El-Haj, Madi Leibowitz, Gil Beyth, Shaul Furman, Zohar Milgrom, Charles Kandel, Leonid Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? |
title | Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? |
title_full | Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? |
title_fullStr | Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? |
title_full_unstemmed | Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? |
title_short | Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus? |
title_sort | should patients with frozen shoulder be screened for diabetes mellitus? |
topic | 8 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5528946/ https://www.ncbi.nlm.nih.gov/pubmed/28812038 http://dx.doi.org/10.1177/2325967117716450 |
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