The relationship between the incidence of adhesive capsulitis and hemoglobin A1c

Journal of Shoulder and Elbow Surgery
Justin H ChanGuido Marra

Abstract

Previous studies have shown no correlation between adhesive capsulitis and hemoglobin A1c (HbA1c). However, HbA1c is only a measure of short-term blood sugar control. We created a previously nonvalidated variable, cumulative HbA1c, that uses HbA1c values over time to estimate the total disease burden a single individual experiences over a period. In this study, we aimed to evaluate whether a correlation exists between cumulative HbA1c levels in diabetic patients and the prevalence of frozen shoulder. We hypothesized that poor long-term glucose control would be correlated with increased incidence of adhesive capsulitis. A retrospective analysis at a single institution was performed. Data from all patients from a single institution with any HbA1c values were collected. A total of 24,417 patients met the inclusion criteria. A variable was created establishing the cumulative magnitude of abnormal HbA1c values over time, termed "cumulative HbA1c." Logistic regression analysis was performed to determine whether long-term glucose control was predictive of the development of adhesive capsulitis. Cumulative HbA1c was positively associated with adhesive capsulitis (7.6 × 10-5) (ie, odds ratio of 1.000076). The effect size of cumulative H...Continue Reading

Citations

Nov 3, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·C Whelton, C A Peach
Feb 23, 2020·The Journal of Bone and Joint Surgery. American Volume·Hyung Bin ParkSoon-Taek Jeong
May 8, 2020·The Journal of Bone and Joint Surgery. American Volume·Hyung Bin ParkSoon-Taek Jeong
Jul 19, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Katsutoshi MiyatakeKenji Yokoyama
Nov 19, 2020·Journal of Experimental Orthopaedics·T KraalR C T Koorevaar
Jul 28, 2020·Journal of Shoulder and Elbow Surgery·Hyung Bin ParkJaehoon Jung
Apr 30, 2021·Indian Journal of Orthopaedics·Vivek Pandey, Sandesh Madi
May 29, 2021·Frontiers in Medicine·Daniel de la SernaLeo Pruimboom
May 22, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Shravya A JoshiKarthik Hariharan
Aug 24, 2021·Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association·Alexander J EckertReinhardW Holl
Sep 7, 2021·Rheumatology International·Michel Gcam MertensFilip Struyf

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