Thread by @anilbhatortho

Today outpatient had at least 7 patients with #Diabetes presenting with various Ortho conditions .
I am listing some common Ortho conditions which present in diabetic patients . Some may present only as Ortho pathology & alert about possibility of underlying undetected diabetes

1. Trigger finger : the incidence is 3-4 times higher & also can involve multiple digits
2. Carpal tunnel syndrome : the incidence is ten times more , can involve both hands & depends on duration of diabetes too

3. Dupuytren’s contracture: the incidents is 3 times higher & related to diabetes duration & its control too

4. Frozen shoulder with adhesive capsulitis: incidence is 4 times higher , resolution is less predictable & prolonged

5.Plantar ulcers : primary due to peripheral neuropathy. Complications are infection, sepsis & amputation at times
6. Ankle fracture leading to complications like neuropathic joint, malunion
7. Infections : which increase morbidity of ortho surgeries, especially with prosthesis

Overall ,diabetes is a huge risk factor for musculoskeletal pathologies. The morbidity is high & prolonged compared to general population.
For a surgeon,infection is a dreaded problem for any procedure in this group of patients. Regular screening & strict control goes a long way

#orthotwitter #MedTwitter