porozendoОстеопороз и остеопатииOsteoporosis and Bone Diseases2072-26802311-0716Endocrinology Research Centre10.14341/osteo12280porozendo-12280Research ArticleНаучный обзорReviewСиндром ограниченной подвижности суставов как предиктор развития синдрома диабетической стопыLimited joint mobility syndrome as a predictor of the diabetic foot syndromehttps://orcid.org/0000-0002-5290-156XПаневинТарас СергеевичPanevinTaras S.

MD

tarasel@list.ruhttps://orcid.org/0000-0001-7017-0898АлексееваЛюдмила ИвановнаAlekseevaLyudmila I.

д.м.н.

MD, PhD

dr.alekseeva@gmail.comhttps://orcid.org/0000-0001-8218-3223ТаскинаЕлена АлександровнаTaskinaElena A.

к.м.н.

MD, PhD

braell@mail.ruhttps://orcid.org/0000-0001-8732-2720КашевароваНаталья ГаврииловнаKashevarovaNatalia G.

к.м.н.

MD, PhD

nat-kash@yandex.ruФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГБУ «Национальный медицинский исследовательский центр эндокринологии»; ФГКУ «Консультативно-диагностический центр Генерального штаба Вооруженных сил Российской Федерации»РоссияV.A. Nasonova Research Institute of Rheumatology; Endocrinology Research Centre; Advisory and Diagnostic center of the General Staff of the Armed Forces of the Russian FederationRussian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation2019010620202231926Copyright © Паневин Т.С., Алексеева Л.И., Таскина Е.А., Кашеварова Н.Г., 20192019Паневин Т.С., Алексеева Л.И., Таскина Е.А., Кашеварова Н.Г.Panevin T.S., Alekseeva L.I., Taskina E.A., Kashevarova N.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.osteo-endojournals.ru/jour/article/view/12280

В отсутствие адекватного лечения сахарный диабет (СД) может привести к развитию поздних осложнений. Помимо «классических» осложнений, отмечена высокая распространенность поражения опорно-двигательного аппарата при СД. Наиболее целесообразным термином, отражающим данное состояние, является «синдром ограниченной подвижности суставов» (ОПС). Поражение кистей при ОПС характеризуется безболезненной ригидностью суставов, фиксированными сгибательными контрактурами, нарушением мелкой моторики и силы захвата. Cо временем ОПС развивается не только в мелких суставах кистей, но и в других суставах конечностей. Традиционно синдрому ОПС уделяется меньшее внимание со стороны практикующих специалистов в сравнении с другими микро- и макрососудистыми осложнениями СД, даже несмотря на то, что ОПС может значимо нарушать функциональную активность, самообслуживание и ухудшать качество жизни. Предполагается, что повреждения околосуставных тканей и суставов при СД вызваны накоплением конечных продуктов гликирования. Решающее место в диагностике ОПС занимает клинический осмотр. Поскольку при синдроме ОПС могут поражаться костно-суставные структуры стоп, своевременная диагностика данного осложнения может способствовать выявлению пациентов с повышенным риском развития синдрома диабетической стопы.

Diabetes mellitus (DM) can lead to the development of late complications. In addition to the traditional late complications, a high prevalence of damage to the musculoskeletal system in diabetes was noted. The most appropriate term that reflects the defeat of the musculoskeletal system in diabetes is «limited joints mobility syndrome» (LJM). Damage to the hands in the presence of open painless stiffness of the joints, fixed flexion contractures, impaired fine motor skills of the hands and grip forces. Subsequently, it became clear that, over time, the restriction of joint mobility develops not only in the small joints of the hands, but also in other large and small joints of the limbs. Traditionally, LJM syndrome pays low attention on the part of practitioners in comparison with other micro- and macrovascular complications of diabetes, even though LJM can significantly impair functional activity, self-care, and impair the quality of life. It is assumed that damage to the periarticular tissues and joints in DM is caused by the accumulation of end glycation products. A decisive place in the diagnosis of LJM is the clinical examination. In the presence of LJM syndrome, the osteoarticular structures of the feet can be affected, timely diagnosis can lead to the development of diabetic foot syndrome.

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The authors declare that there are no conflicts of interest present.