Evidence map›Paper›PMID 41896299›Full record

SynthesisInternational orthopaedics2026

The diabetic shoulder: association between diabetes mellitus and adhesive capsulitis - a systematic review and meta-analysis.

Philippe Hernigou, Marius M Scarlat

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Philippe HernigouParis-Est Créteil University, Créteil, France. philippe.hernigou@wanadoo.fr.
Marius M ScarlatParis-Est Créteil University, Créteil, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess whether diabetes mellitus (type 1 or type 2) increases the risk of developing adhesive capsulitis (frozen shoulder).

methodsA systematic review and meta-analysis were conducted in 2026 using multiple electronic databases. Additional studies were identified through screening reference lists and consulting professional networks. Studies examining the relationship between diabetes mellitus and the incidence of adhesive capsulitis were eligible for inclusion. Study quality and bias risk were assessed, and when enough data were available, a random-effects meta-analysis was performed to estimate the general association between diabetes and the development of frozen shoulder.

resultsThe combined analysis showed that people with diabetes had 3.69 times higher odds (95% CI 2.99-4.56) of developing adhesive capsulitis compared to people without diabetes. Several additional risk factors were noted across studies, including poor glycemic control, obesity, hyperlipidaemia, hypertension, thyroid issues, age between 40 and 65, female gender, smoking, and alcohol use.

conclusionDiabetes mellitus is strongly associated with an increased risk of adhesive capsulitis. However, the observed association may be influenced by unmeasured confounding factors. Further high-quality longitudinal studies are required to clarify the causal relationship and underlying mechanisms.

Indexed as

BursitisDiabetes ComplicationsDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Shoulder JointFemaleHumansIncidenceMaleRisk FactorsAdhesive capsulitisDiabetes MellitusDiabetic shoulderFrozen shoulderShoulder stiffness

Identifiers

PMID41896299
PMCPMC13079542

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.