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Orthopedic Consequences of Diabetes

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Diabetic Arthropathy

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Joint stiffness, limited range of motion, and deformity due to glycated end products in collagen.

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Peripheral Artery Disease (PAD)

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Reduced blood flow to extremities leading to pain, potential for osteonecrosis and amputation risks.

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Diabetic Foot Ulcers

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Increased pressure on foot joints leading to ulcers and potential amputations due to neuropathy and poor circulation.

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Adhesive Capsulitis

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Shoulder stiffness and pain due to inflammation and fibrotic adhesions, with a higher incidence in diabetics.

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Neuropathic Osteoarthropathy

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Joint damage and bone fractures due to loss of sensation from peripheral neuropathy.

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Delayed Wound Healing

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Increased risk of osteomyelitis and chronic wounds due to poor circulation and immune response.

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Carpal Tunnel Syndrome

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Compression of the median nerve in the wrist can be more prevalent in diabetic patients, leading to pain and numbness.

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Osteoarthritis

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Accelerated cartilage degradation and joint pain exacerbated by obesity, which is common in type 2 diabetes.

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Charcot Joint

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Progressive degeneration of a weight-bearing joint, leading to fractures and deformities, often due to neuropathy.

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Diffuse Idiopathic Skeletal Hyperostosis (DISH)

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Calcification and hardening of ligaments in the spine resulting in decreased range of motion; linked with insulin resistance.

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Osteoporosis

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Increased risk of fractures and bone density loss due to insulin deficiency affecting bone turnover.

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Infection Susceptibility

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Higher susceptibility to bone and joint infections due to immune system impairment, including septic arthritis.

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Limited Joint Mobility (LJM)

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Causes tight, inflexible joints, particularly in the hands, which can affect the patient's ability to perform daily tasks.

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Dupuytren's Contracture

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Fibrous tissue forms in the palm and fingers, causing finger contractures, more frequently seen in diabetic individuals.

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Bone Marrow Edema Syndrome

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Bone marrow inflammation that can cause severe pain and is sometimes found in diabetic patients.

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Plantar Fasciitis

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Heel pain and inflammation of the plantar fascia may be more common in diabetics due to changes in weight distribution.

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Diabetic Myonecrosis

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Muscle weakness and wasting due to acute muscle infarction, commonly seen in poorly controlled diabetes.

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Tendon Thickening

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Tendons may thicken and become less flexible, causing movement restriction due to glycation.

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