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. 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.
Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, NY.
Theodore S
TS
Wolfson
Mathew J
MJ
Hamula
Laith M
LM
Jazrawi
D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery; D001786:Blood Glucose / Q000032:analysis; D002062:Bursitis / Q000209:etiology / Q000628:therapy; D002358:Cartilage, Articular / Q000503:physiopathology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000503:physiopathology*; D006801:Humans; D020370:Osteoarthritis, Knee / Q000503:physiopathology; D019990:Perioperative Care; D011183:Postoperative Complications / Q000209:etiology; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012421:Rupture / Q000601:surgery; D013178:Sports Medicine; D052256:Tendinopathy / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
D001786:Blood Glucose