Bone and joint manifestations in insulin dependent diabetic children

ABSTRACT

This study was carried out on 94 diabetic children. All children were subjected to full history, clinical examination, plain X-ray of the vertebrae and joints and full laboratory investigations. Osteoporosis was presented in 29.79% of diabetic children being the most common manifestation in the study. Its incidence was more common in males, increased in older children and had unstable correlation with the duration and severity of diabetes. Carpal tunnel syndrome was presented in 12.76% of diabetic children and its incidence was positively correlated with the severity of diabetes. Trigger finger was presented in 5.3% of diabetic children and its incidence was more common in males above the age of 15 years and was positively correlated with duration and severity of diabetes. Cheiroarthropathy was presented in 4.25% of diabetic children and its incidence was more common in males, and positively correlated with severity of diabetes. A greater influence of patient's age than diabetes duration on the development of cheiroarthropathy was suggested. Dupuytren's contracture was presented in 3.1% of diabetic children, more common in females, occurred in older children [11-13 years] and its presence depended upon the duration and severity of diabetes. Periarthritis of the shoulder was presented in 2.12% of diabetic children, more common above the age of 15 years and dependent on the severity rather than the duration of diabetes. Lastly, osteolysis, neuroarthropathy and diffuse idiopathic skeletal hyperostosis were not detected in the diabetic children