Background: Diabetes mellitus (DM) is a common endocrine disorder worldwide, causing multisystem
comorbidities, which compromise organ functions including musculoskeletal complications that affect the quality of
life up to handicapping. Ultrasound is a very sensitive tool and a strong predictor of a DM musculoskeletal (MSK)
changes, aiding in early management and control of disease parameters preventing subsequent comorbidities.
Objective: This study aimed to evaluate if there is a relation between sonographic musculo-tendinous structural
changes and diabetes and to correlate them with both clinical and laboratory parameters.
Patient and Methods: 40 diabetic patients and 25 healthy subjects were involved in this work. All participants
underwent history taking, general and musculoskeletal examination and laboratory and ultrasonographic evaluation.
Results: 28 diabetic females and 12 diabetic males with mean age of 49.8± 13.7 years, showed statistically significant
tendinous changes mainly tendon thickness compared to controls (p