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Sonographic Findings of Common Musculoskeletal Diseases in Patients with Diabetes Mellitus

  • Park, Minho (Department of Medicine, Graduate School, Kyung Hee University) ;
  • Park, Ji Seon (Department of Radiology, Kyung Hee University Hospital) ;
  • Ahn, Sung Eun (Department of Radiology, Kyung Hee University Hospital) ;
  • Ryu, Kyung Nam (Department of Radiology, Kyung Hee University Hospital) ;
  • Park, So Young (Department of Radiology, Kyung Hee University Hospital at Gangdong) ;
  • Jin, Wook (Department of Radiology, Kyung Hee University Hospital at Gangdong)
  • Received : 2015.07.16
  • Accepted : 2015.12.28
  • Published : 2016.04.01

Abstract

Diabetes mellitus (DM) can accompany many musculoskeletal (MSK) diseases. It is difficult to distinguish the DM-related MSK diseases based on clinical symptoms alone. Sonography is frequently used as a first imaging study for these MSK symptoms and is helpful to differentiate the various DM-related MSK diseases. This pictorial essay focuses on sonographic findings of various MSK diseases that can occur in diabetic patients.

Keywords

References

  1. Joshi N, Caputo GM, Weitekamp MR, Karchmer AW. Infections in patients with diabetes mellitus. N Engl J Med 1999;341:1906-1912 https://doi.org/10.1056/NEJM199912163412507
  2. Casqueiro J, Casqueiro J, Alves C. Infections in patients with diabetes mellitus: a review of pathogenesis. Indian J Endocrinol Metab 2012;16 Suppl 1:S27-S36 https://doi.org/10.4103/2230-8210.94253
  3. Chau CL, Griffith JF. Musculoskeletal infections: ultrasound appearances. Clin Radiol 2005;60:149-159 https://doi.org/10.1016/j.crad.2004.02.005
  4. Turecki MB, Taljanovic MS, Stubbs AY, Graham AR, Holden DA, Hunter TB, et al. Imaging of musculoskeletal soft tissue infections. Skeletal Radiol 2010;39:957-971 https://doi.org/10.1007/s00256-009-0780-0
  5. Patel SR, Olenginski TP, Perruquet JL, Harrington TM. Pyomyositis: clinical features and predisposing conditions. J Rheumatol 1997;24:1734-1738
  6. Bosshardt TL, Henderson VJ, Organ CH Jr. Necrotizing softtissue infections. Arch Surg 1996;131:846-852; discussion 852-854 https://doi.org/10.1001/archsurg.1996.01430200056011
  7. Wongworawat MD, Holtom P, Learch TJ, Fedenko A, Stevanovic MV. A prolonged case of Mycobacterium marinum flexor tenosynovitis: radiographic and histological correlation, and review of the literature. Skeletal Radiol 2003;32:542-545 https://doi.org/10.1007/s00256-003-0636-y
  8. Bellapianta JM, Ljungquist K, Tobin E, Uhl R. Necrotizing fasciitis. J Am Acad Orthop Surg 2009;17:174-182 https://doi.org/10.5435/00124635-200903000-00006
  9. Bureau NJ, Ali SS, Chhem RK, Cardinal E. Ultrasound of musculoskeletal infections. Semin Musculoskelet Radiol 1998;2:299-306 https://doi.org/10.1055/s-2008-1080109
  10. Andras A, Ferket B. Screening for peripheral arterial disease. Cochrane Database Syst Rev 2014;4:CD010835
  11. Beckman JA, Creager MA, Libby P. Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA 2002;287:2570-2581 https://doi.org/10.1001/jama.287.19.2570
  12. Gibbons GW, Shaw PM. Diabetic vascular disease: characteristics of vascular disease unique to the diabetic patient. Semin Vasc Surg 2012;25:89-92 https://doi.org/10.1053/j.semvascsurg.2012.04.005
  13. Pectasides M, Kalva SP. Diabetes revealed: multisystem danger. AJR Am J Roentgenol 2011;196:274-286 https://doi.org/10.2214/AJR.10.5922
  14. Schaberle W. Ultrasonography in Vascular Diagnosis: A Therapy-Oriented Textbook and Atlas. Berlin: Springer-Verlag, 2011:258
  15. Al-Aly Z. Medial vascular calcification in diabetes mellitus and chronic kidney disease: the role of inflammation. Cardiovasc Hematol Disord Drug Targets 2007;7:1-6 https://doi.org/10.2174/187152907780059047
  16. David Smith C, Gavin Bilmen J, Iqbal S, Robey S, Pereira M. Medial artery calcification as an indicator of diabetic peripheral vascular disease. Foot Ankle Int 2008;29:185-190 https://doi.org/10.3113/FAI.2008.0185
  17. Liu KH, Chu WC, Kong AP, Choi Ko GT, Ma RC, Chan JW, et al. US assessment of medial arterial calcification: a sensitive marker of diabetes-related microvascular and macrovascular complications. Radiology 2012;265:294-302 https://doi.org/10.1148/radiol.12112440
  18. Puttemans T, Nemery C. Diabetes: the use of color Doppler sonography for the assessment of vascular complications. Eur J Ultrasound 1998;7:15-22 https://doi.org/10.1016/S0929-8266(98)00008-1
  19. Thakkar RS, Del Grande F, Thawait GK, Andreisek G, Carrino JA, Chhabra A. Spectrum of high-resolution MRI findings in diabetic neuropathy. AJR Am J Roentgenol 2012;199:407-412 https://doi.org/10.2214/AJR.11.7893
  20. Tan PL, Teh J. MRI of the diabetic foot: differentiation of infection from neuropathic change. Br J Radiol 2007;80:939-948 https://doi.org/10.1259/bjr/30036666
  21. Jones EA, Manaster BJ, May DA, Disler DG. Neuropathic osteoarthropathy: diagnostic dilemmas and differential diagnosis. Radiographics 2000;20 Spec No:S279-S293 https://doi.org/10.1148/radiographics.20.suppl_1.g00oc22s279
  22. Baker JC, Demertzis JL, Rhodes NG, Wessell DE, Rubin DA. Diabetic musculoskeletal complications and their imaging mimics. Radiographics 2012;32:1959-1974 https://doi.org/10.1148/rg.327125054
  23. Bianchi S, Baert AL, Abdelwahab IF, Derchi LE, Martinoli C, Rizzatto G, et al. Ultrasound of the musculoskeletal system. Heidelberg: Springer, 2007:862
  24. Schweitzer ME, Daffner RH, Weissman BN, Bennett DL, Blebea JS, Jacobson JA, et al. ACR Appropriateness Criteria on suspected osteomyelitis in patients with diabetes mellitus. J Am Coll Radiol 2008;5:881-886 https://doi.org/10.1016/j.jacr.2008.05.002
  25. Fitzgibbons PG, Weiss AP. Hand manifestations of diabetes mellitus. J Hand Surg Am 2008;33:771-775
  26. Resnick D, Kransdorf M. Bone and Joint Imaging, 3rd ed. Philadelphia: Elsevier Saunders, 2005:625-629
  27. Thomsen NO, Cederlund R, Rosen I, Bjork J, Dahlin LB. Clinical outcomes of surgical release among diabetic patients with carpal tunnel syndrome: prospective follow-up with matched controls. J Hand Surg Am 2009;34:1177-1187 https://doi.org/10.1016/j.jhsa.2009.04.006
  28. Mallouhi A, Pulzl P, Trieb T, Piza H, Bodner G. Predictors of carpal tunnel syndrome: accuracy of gray-scale and color Doppler sonography. AJR Am J Roentgenol 2006;186:1240-1245 https://doi.org/10.2214/AJR.04.1715
  29. Huang YP, Fann CY, Chiu YH, Yen MF, Chen LS, Chen HH, et al. Association of diabetes mellitus with the risk of developing adhesive capsulitis of the shoulder: a longitudinal population-based followup study. Arthritis Care Res (Hoboken) 2013;65:1197-1202 https://doi.org/10.1002/acr.21938
  30. Jacobson JA. Musculoskeletal ultrasound: focused impact on MRI. AJR Am J Roentgenol 2009;193:619-627 https://doi.org/10.2214/AJR.09.2841
  31. Papatheodorou A, Ellinas P, Takis F, Tsanis A, Maris I, Batakis N. US of the shoulder: rotator cuff and non-rotator cuff disorders. Radiographics 2006;26:e23 https://doi.org/10.1148/rg.e23
  32. Murphey MD, Ruble CM, Tyszko SM, Zbojniewicz AM, Potter BK, Miettinen M. From the archives of the AFIP: musculoskeletal fibromatoses: radiologic-pathologic correlation. Radiographics 2009;29:2143-2173 https://doi.org/10.1148/rg.297095138
  33. Khashan M, Smitham PJ, Khan WS, Goddard NJ. Dupuytren's disease: review of the current literature. Open Orthop J 2011;5 Suppl 2:283-288 https://doi.org/10.2174/1874325001105010283
  34. Creteur V, Madani A, Gosset N. [Ultrasound imaging of Dupuytren's contracture]. J Radiol 2010;91:687-691 https://doi.org/10.1016/S0221-0363(10)70098-6
  35. Ryzewicz M, Wolf JM. Trigger digits: principles, management, and complications. J Hand Surg Am 2006;31:135-146 https://doi.org/10.1016/j.jhsa.2005.10.013
  36. Kim HR, Lee SH. Ultrasonographic assessment of clinically diagnosed trigger fingers. Rheumatol Int 2010;30:1455-1458 https://doi.org/10.1007/s00296-009-1165-3
  37. Delaney-Sathy LO, Fessell DP, Jacobson JA, Hayes CW. Sonography of diabetic muscle infarction with MR imaging, CT, and pathologic correlation. AJR Am J Roentgenol 2000;174:165-169 https://doi.org/10.2214/ajr.174.1.1740165
  38. Trujillo-Santos AJ. Diabetic muscle infarction: an underdiagnosed complication of long-standing diabetes. Diabetes Care 2003;26:211-215 https://doi.org/10.2337/diacare.26.1.211
  39. Parmar MS. Diabetic muscle infarction. BMJ 2009;338:b2271 https://doi.org/10.1136/bmj.b2271

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