Impact of Diabetes Mellitus on Surgical Outcomes in Sports Medicine

Diabetes mellitus (DM) affects a significant proportion of the patients evaluated and treated by orthopedic surgeons who specialize in sports medicine. Sports-medicine-related conditions associated with DM include tendinopathy, adhesive capsulitis of the shoulder, and articular cartilage disease. Th...

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Bibliographic Details
Published in:The Physician and sportsmedicine 2013-11, Vol.41 (4), p.64-77
Main Authors: Wolfson, Theodore S., Hamula, Mathew J., Jazrawi, Laith M.
Format: Article
Language:English
Subjects:
Achilles Tendon - injuries
Achilles Tendon - surgery
adhesive capsulitis of the shoulder
articular cartilage disease
Blood Glucose - analysis
Bursitis - etiology
Bursitis - therapy
Cartilage, Articular - physiopathology
Diabetes Complications
diabetes mellitus
Diabetes Mellitus - physiopathology
Humans
Osteoarthritis, Knee - physiopathology
pathophysiology
Perioperative Care
Postoperative Complications - etiology
Rotator Cuff - surgery
Rotator Cuff Injuries
rotator cuff tendinopathy
Rupture - surgery
Sports Medicine
surgical complications
Tendinopathy - diagnosis
Tendinopathy - etiology
Tendinopathy - surgery
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Summary:Diabetes mellitus (DM) affects a significant proportion of the patients evaluated and treated by orthopedic surgeons who specialize in sports medicine. Sports-medicine-related conditions associated with DM include tendinopathy, adhesive capsulitis of the shoulder, and articular cartilage disease. This article reviews the current literature adressing the effect of DM on surgical outcomes in sports medicine. In general, patients with DM undergo operations more frequently and experience inferior surgical outcomes compared with patients without DM. Diabetes mellitus is associated with increased rates of complications from sports medicine procedures, such as infection, delayed healing, and failure of the operation. However, additional research is needed to determine the full impact of DM on patient outcomes in sports medicine. Surgeons should be cognizant of special considerations in the population of patients with DM and aim to tailor the surgical management of this growing patient population.
ISSN:0091-3847
2326-3660
DOI:10.3810/psm.2013.11.2037