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Orthopedic Consequences of Diabetes
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Diabetic Arthropathy
Joint stiffness, limited range of motion, and deformity due to glycated end products in collagen.
Osteoporosis
Increased risk of fractures and bone density loss due to insulin deficiency affecting bone turnover.
Osteoarthritis
Accelerated cartilage degradation and joint pain exacerbated by obesity, which is common in type 2 diabetes.
Charcot Joint
Progressive degeneration of a weight-bearing joint, leading to fractures and deformities, often due to neuropathy.
Diabetic Myonecrosis
Muscle weakness and wasting due to acute muscle infarction, commonly seen in poorly controlled diabetes.
Delayed Wound Healing
Increased risk of osteomyelitis and chronic wounds due to poor circulation and immune response.
Adhesive Capsulitis
Shoulder stiffness and pain due to inflammation and fibrotic adhesions, with a higher incidence in diabetics.
Dupuytren's Contracture
Fibrous tissue forms in the palm and fingers, causing finger contractures, more frequently seen in diabetic individuals.
Diabetic Foot Ulcers
Increased pressure on foot joints leading to ulcers and potential amputations due to neuropathy and poor circulation.
Tendon Thickening
Tendons may thicken and become less flexible, causing movement restriction due to glycation.
Diffuse Idiopathic Skeletal Hyperostosis (DISH)
Calcification and hardening of ligaments in the spine resulting in decreased range of motion; linked with insulin resistance.
Peripheral Artery Disease (PAD)
Reduced blood flow to extremities leading to pain, potential for osteonecrosis and amputation risks.
Infection Susceptibility
Higher susceptibility to bone and joint infections due to immune system impairment, including septic arthritis.
Neuropathic Osteoarthropathy
Joint damage and bone fractures due to loss of sensation from peripheral neuropathy.
Plantar Fasciitis
Heel pain and inflammation of the plantar fascia may be more common in diabetics due to changes in weight distribution.
Limited Joint Mobility (LJM)
Causes tight, inflexible joints, particularly in the hands, which can affect the patient's ability to perform daily tasks.
Carpal Tunnel Syndrome
Compression of the median nerve in the wrist can be more prevalent in diabetic patients, leading to pain and numbness.
Bone Marrow Edema Syndrome
Bone marrow inflammation that can cause severe pain and is sometimes found in diabetic patients.
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