Changes in
connective tissue are caused by the metabolic perturbations in diabetes, these
perturbations include glycosylation of proteins, microvascular abnormalities
with damage to blood vessels and nerves, and collagen accumulation in skin and
periarticular structures.
Diabetic
cherioarthropathy is characterized by thick, tight, waxy skin
reminiscent of scleroderma. Limited joint range of motion and sclerosis of
tendon sheaths are also seen.
Diabetic muscle infarction is a rare condition. This
spontaneous infarction, with no history of trauma, tends to affect patients
with a long history of poorly controlled diabetes. It is seen more commonly in
patients with insulin-requiring diabetes, and most affected patients have
multiple microvascular complications.
Osteoarthritis - Diabetes is not clearly a risk
factor for osteoarthritis (OA). However, obesity is a risk factor for both
conditions. Both large and small joint OA have been reported to be increased in
type 2 diabetes. However, OA of the weight-bearing joints in the affected type
2 diabetic patients may be related to their obesity and not to the diabetes
itself.
Therapy consists
of:
- rest
- analgesia
- routine daily activities
- physical therapy
Good Information:)
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