2. Department of Radiology, University of Gondar, Ethiopia.
Background: Diabetes mellitus (DM) and associated long term complications have become increasingly prevalent in developing countries. However, there is little evidence on the extent of shoulder and hand musculoskeletal complications in Ethiopia.
Objective: This study aimed to assess the prevalence of shoulder and hand musculoskeletal complications and their associations among diabetic patients.
Method: An institution based cross-sectional study was conducted from March to June, 2012 at the University of Gondar Teaching Referral Hospital. The systematic sampling technique was used to select 301 DM patients. To collect the data interviews and examination on hands and shoulders were conducted.
Results: Out of the total 301 subjects, 163 (54.2%) were female. The mean age (±SD) of the subjects was 45.9 (±15.9) years. The cumulative prevalence of shoulder and hand complications was 16.6% and the majority of them in females 36 (20.1%). The prevalence was higher 37 (21.3%) in type 2 DM patients. The bivariate logistic regression analysis showed that shoulder and hand complication was significantly associated with sex, type of diabetes, age and duration of DM illness; (p<0.05). However, in multivariate logistic regression analysis, only sex had a significant association with shoulder and hand complications (p=0.04).
Conclusion: The prevalence of shoulder and hand musculoskeletal complications was high in the Ethiopian DM population, and was higher in female and in older patients. Examination of the shoulder and the hand should then be included as an integral part of the care for diabetic patients.
Key words: Diabetes mellitus, musculoskeletal complication, frozen shoulder, carpal tunnel syndrome, dupuytren's contracture, trigger finger