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Objective: To detect the musculoskeletal disorders of diabetes affecting the hand by ultrasonography (US) and to study the relationship of these changes with the arterial Doppler blood flow pattern. Materials & Methods: Both hands of 23 diabetic patients (age 53 ± 11.3 years) (10 female, 13 male) were examined by US and compared to age and sex matched control group (age 53 ± 11.1 years). Median nerve diameters, area and circumference measurements, flexor retinaculum thickness and tendinopathic changes as decrease in echogenicity, peritendinous fluid collection were studied. Arterial Doppler echo pattern of radial, ulnar and palmar arch arteries have also been studied. Clinical findings as arthralgia, numbness and limited joint mobility were recorded. Results: Patients group showed a significant increase (P

Objective: To investigate ultrasonographically the frequency of Achilles tendon (AT) involvement in patients with intermittent claudication due to lower extremity arterial ischemia. Materials and Methods: 70 lower extremity in 40 patients with unilateral (n=10) and bilateral (n=30) symptoms of intermittent claudication were studied. 60 age and sex matched asymptomatic lower extremities in 34 subjects served as a control group. Arterial Doppler ultrasonography was done to establish the diagnosis of occlusive arterial disease and the degree of obstruction was recorded. Tendinopathic changes of AT were assessed by ultrasonography (US). Results: Tendon thickness was increased in patient group (7.35+2.91mm) compared to control group (5.39 +1.21 mm). Tendinopathic changes like increased thickness, decreased echogenicity and loss of edge sharpness with intraperitenon fluid collection were seen in 54/70 heels in patient group. Among, tendinopathic changes increased thickness and hypoechogenicity has shown a significant correlation with stenotic changes of popliteal (P=0.027), tibialis posterior (P=0.27) and dorsalis pedis arteries (P=0,006), whereas no correlation was found with those of common and superficial femoral arteries. Conclusion: Tendiopathic changes can be seen in AT in occlusive distal arterial diseases of lower extremity. Ultrasonography may offer a good diagnostic modality in displaying these changes in patients with lower limb ischaemia