<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>
<bold>Aim of study:</bold> The main goal of this study was to compare the various degenerative changes in the Achilles tendon of type 2 diabetic patients to that of controls. The influence of diabetic peripheral neuropathy, duration of diabetes mellitus, age, and body mass index on the occurrence of degenerative changes was also evaluated. <bold>Materials and methods:</bold> The Achilles tendons of both limbs were evaluated with high-resolution ultrasound in 80 type 2 diabetics and 80 age/sex-matched controls. A 10 g Semmes Weinstein monofilament was used to examine for peripheral neuropathy. Anthropometric measurements and biochemical assessment of glycemic control (fasting plasma glucose and glycated hemoglobin) were also done. <bold>Results:</bold> The mean age of type 2 diabetic subjects and healthy controls was 60.9 ± 10.3 years (range 41–79 years) and 61.0 ± 10.3 years (range 40–79 years), respectively (<italic>p</italic> = 0.963). The median duration of diabetes mellitus was 42.0 months (range = 1–456 months). The prevalence of degenerative changes (calcifications, disorganized fibers and/or hypoechoic foci) was significantly higher in type 2 diabetic subjects than controls in both the right (55.0% <italic>vs.</italic> 18.8%, <italic>p</italic> &lt;0.001) and left (52.5% <italic>vs.</italic> 18.8%, <italic>p</italic> &lt;0.001) feet. <bold>Conclusion:</bold> The Achilles tendons of type 2 diabetic subjects have significantly more degenerative changes than their age/ sex-matched controls in our locality. Disorganized Achilles tendon fibers occur significantly more often among male than female type 2 diabetic subjects. Disorganization of Achilles tendon fibers and hypoechoic foci are significantly more prevalent in type 2 diabetic subjects with peripheral neuropathy than those without peripheral neuropathy. Body mass index did not affect the occurrence of degenerative changes in the Achilles tendon of participants.</p>
</abstract>

Aim of study: The main goal of this study was to compare the various degenerative changes in the Achilles tendon of type 2 diabetic patients to that of controls. The influence of diabetic peripheral neuropathy, duration of diabetes mellitus, age, and body mass index on the occurrence of degenerative changes was also evaluated. Materials and methods: The Achilles tendons of both limbs were evaluated with high-resolution ultrasound in 80 type 2 diabetics and 80 age/sex-matched controls. A 10 g Semmes Weinstein monofilament was used to examine for peripheral neuropathy. Anthropometric measurements and biochemical assessment of glycemic control (fasting plasma glucose and glycated hemoglobin) were also done. Results: The mean age of type 2 diabetic subjects and healthy controls was 60.9 ± 10.3 years (range 41–79 years) and 61.0 ± 10.3 years (range 40–79 years), respectively (p = 0.963). The median duration of diabetes mellitus was 42.0 months (range = 1–456 months). The prevalence of degenerative changes (calcifications, disorganized fibers and/or hypoechoic foci) was significantly higher in type 2 diabetic subjects than controls in both the right (55.0% vs. 18.8%, p <0.001) and left (52.5% vs. 18.8%, p <0.001) feet. Conclusion: The Achilles tendons of type 2 diabetic subjects have significantly more degenerative changes than their age/ sex-matched controls in our locality. Disorganized Achilles tendon fibers occur significantly more often among male than female type 2 diabetic subjects. Disorganization of Achilles tendon fibers and hypoechoic foci are significantly more prevalent in type 2 diabetic subjects with peripheral neuropathy than those without peripheral neuropathy. Body mass index did not affect the occurrence of degenerative changes in the Achilles tendon of participants.

Achilles tendon degeneration on ultrasound in type 2 diabetic patients

Journal of Ultrasonography

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Achilles tendon degeneration on ultrasound in type 2 diabetic patients"}

Aim of study: The main goal of this study was to compare the various degenerative changes in the Achilles tendon of type 2 diabetic patients to that of...

Achilles tendon degeneration on ultrasound in type 2 diabetic patients

Article Category: research-article

Published Online: Dec 18, 2020

Page range: 291 - 299

Received: May 11, 2020

Accepted: Aug 21, 2020

DOI: https://doi.org/10.15557/jou.2020.0051

Keywords
Achilles tendon, Achilles tendinopathy, tendon degeneration, tendinopathy, diabetes mellitus

© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Achilles tendon degeneration on ultrasound in type 2 diabetic patients

Article Category: research-article

Published Online: Dec 18, 2020

Page range: 291 - 299

Received: May 11, 2020

Accepted: Aug 21, 2020

DOI: https://doi.org/10.15557/jou.2020.0051

KeywordsAchilles tendon, Achilles tendinopathy, tendon degeneration, tendinopathy, diabetes mellitus

© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Achilles tendon, Achilles tendinopathy, tendon degeneration, tendinopathy, diabetes mellitus