Der Orthopäde

, Volume 34, Issue 3, pp 210–217 | Cite as

Der diabetische Muskelinfarkt—ein orthopädisches Krankheitsbild?

Originalien
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Zusammenfassung

Der diabetische Muskelinfarkt (DMI) ist ein weitgehend unbekanntes Krankheitsbild. Er betrifft in aller Regel langjährige Diabetiker um die 40 Jahre mit häufig begleitenden diabetischen Folgeerkrankungen. Seine Symptomatik entspricht der einer Erkrankung des Bewegungsapparats mit lokalisierten Muskelschmerzen ohne Trauma, Schwellung und Funktionsbeeinträchtigung. Obwohl seine Kurzzeitprognose gut ist, mit meist vollständigem Verschwinden der Beschwerden innerhalb von Wochen bis Monaten unter Analgesie und Schonung, besteht eine sehr hohe Rezidivrate mit bis zu 60%. Weiterhin ist die Überlebensrate der Patienten nach einem DMI meist aufgrund vaskulärer Komplikationen deutlich eingeschränkt.

Da sich viele Diabetiker aufgrund von Beschwerden im Bereich des Bewegungsapparats in orthopädischer Behandlung befinden, sollte dem Orthopäden dieses Krankheitsbild bekannt sein, um unnötige invasive Maßnahmen zu vermeiden und die richtige Therapie einzuleiten. Weiterhin könnte durch ein verbessertes Bewusstsein über die Erkrankung deren wahre Inzidenz festgestellt werden und evtl. weitere Maßnahmen zur Prophylaxe und Verbesserung der Langzeitprognose dieser Patienten etabliert werden.

Schlüsselwörter

Diabetes mellitus Muskelinfarkt Diagnostik Therapie Prognose 

Diabetic muscle infarction—an orthopedic disease pattern?

Abstract

Diabetic muscle infarction (DMI) is a largely unfamiliar disease. It affects mainly patients around 40 years of age with long-standing diabetes and concomitant end-organ complications. The symptoms represent a classic pattern of a musculoskeletal disease with muscle pain without trauma, swelling, and functional impairment. Although its short-term prognosis is good, with improvement of the symptoms over weeks or months under analgesia and rest, a high recurrence rate of up to 60% can be observed. Additionaly, the long-term survival of patients after DMI is reduced mostly due to major vascular complications.

Since many diabetic patients are in orthopedic care for musculoskeletal disorders, the orthopedic surgeon should be aware of this disease to avoid unnecessary invasive diagnostic procedures and initiate suitable therapy. Furthermore, a better knowledge of the disease could lead to definite conclusions regarding its real incidence and aid in establishing new therapeutic measures for prophylaxis and better long-term survival.

Keywords

Diabetes mellitus Muscle infarction Diagnostics Therapy Prognosis 
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Notes

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

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Copyright information

© Springer Medizin Verlag 2005

Authors and Affiliations

  • R. Schmidt
    • 1
    • 2
  • M. Richter
    • 1
  • K. Huch
    • 1
  • W. Puhl
    • 1
  • B. Cakir
    • 1
  1. 1.Orthopädische Klinik mit Querschnittgelähmtenzentrum der Universität Ulm
  2. 2.Orthopädische Klinik mit QuerschnittgelähmtenzentrumUniversität UlmUlm

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