AI Article Synopsis
- The study aimed to evaluate the use of musculoskeletal ultrasound (US) to identify the presence of pes anserinus (PA) tendinitis or bursitis in patients with type 2 diabetes mellitus (DM), while also exploring potential links to diabetic microvascular complications.
- In a comparison between 48 diabetic patients and 25 control subjects, 23.9% of knees in the diabetic group exhibited PA syndrome, but only a small fraction showed significant US findings related to the PA tendons.
- The findings suggest that while PA tendinitis or bursitis is relatively common in type 2 DM patients, structural abnormalities seen on ultrasound may be less frequent, indicating that other factors like knee osteoarthritis could contribute to pain in these individuals.
Article Abstract
Objective: To assess musculoskeletal ultrasonographic (US) findings in patients with type 2 diabetes mellitus (DM) with and without pes anserinus (PA) tendinitis or bursitis syndrome; and to determine possible etiologic factors such as systemic diabetic microvascular disease complications in these patients.
Methods: The knee joints were examined with an ultrasound real-time scanner using a 10 MHz electronic linear transducer in 48 patients with type 2 DM and 25 controls. The presence of systemic diabetic microvascular disease complications was evaluated.
Results: On examination 23 (23.9%) knees of the 14 (29.1%) patients with type 2 DM were found to have PA tendinitis or bursitis syndrome. US revealed that only 4 (8.3%) of the diabetic patients with PA tendinitis or bursitis syndrome had PA tendonitis findings. There were no significant differences in the thickness of PA tendons between the diabetic patients with bilateral knee PA tendinitis or bursitis syndrome (9 patients) and controls, or between the asymptomatic and symptomatic knees in patients with unilateral PA tendinitis or bursitis syndrome (5 patients). The prevalence of morphologic changes of the medial meniscus, effusion and synovitis in the suprapatellar recess, popliteal cyst, and radiographic osteoarthritis (OA) in the diabetic patients with PA tendinitis or bursitis syndrome was found to be increased.
Conclusion: The prevalence of PA tendinitis or bursitis syndrome is not uncommon on examination in patients with type 2 DM. However, patients with clinically diagnosed PA tendinitis or bursitis syndrome less frequently have morphologic US changes of the PA tendons. Our results also suggest that structural changes such as meniscus lesions that occur in consequence of OA might have a role in the etiology of medial knee pain in diabetic patients.
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