COMPREHENSIVE RADIODIAGNOSIS OF JOINT DISEASES IN PATIENTS WITH DIABETES MELLITUS

The article analyzes the relevant literature data on features of joint disease radiodiagnosis in patients with diabetes mellitus, given the condition's pathogenic peculiarities and the possibility of symptom identification. The main diabetes mellitus complications affecting joints are Charcot neuroarthropathy (Charcot foot), osteoarthritis, adhesive capsulitis, and diabetic polyneuropathy affecting peripheral nerves. Conditions affecting soft tissues include limited joint mobility syndrome (cheiroarthropathy, diabetic hand syndrome), carpal tunnel syndrome, stenosing tenosynovitis, Dupuytren's contracture, adhesive capsulitis (frozen shoulder), diabetic amyotrophy (diabetic sarcopenia), and diabetic muscle infarction (diabetic myonecrosis). The paper considers joint diseases radiodiagnosis and major diabetes mellitus complications based on pathogenesis of the specified condition. The standard radiological method for joint disease diagnostics is radiography. At the same time, this technique has disadvantages and may alter the real clinical picture of the disease. Ultrasound scanning enables enhanced diagnostics effectiveness. However, the most informative methods are computed tomography and magnetic resonance imaging. The authors conduct a comparative analysis of joint diseases' structural features, which are detected using the aforementioned radiological research methods. The personalized approach to radiodiagnosis in accordance with the disease stage, pathogenesis, and clinical aspects allows for improving the diagnostics effectiveness and subsequent treatment of joint diseases associated with diabetes mellitus.

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