Masters of Clinical Anatomy Projects
The objective was to investigage the effects of type 2 diabetes mellitus (T2DM) on tibial cortical and medullary cross-sectional areas (CSA) using magnetic resonance imaging. Sequential 1mm-thick slice images were acquired of the right leg from the tibial plateau to the talus in 8 individuals with T2DM and 9 age- and sex-matched (32 to 79 y) controls. The CSA (cm 2) was measured at 3 sites, 20%, 50%, and 80% of tibial length, by a blinded analyzer. At the 20% site, medullary CSA in T2DM was significanltly greater than controls (mean ± SD: 5.9 ± 1.2 vs. 4.8 ± 0.7). No differences were found at the 50% and 80% sites. These preliminary results indicate bone geometry is negatively affected by T2DM at the proximal tibia, due to decreased muscle tensions and accelerated aging. Lower levels of physical activity, heavier body weights and diminished muscle strength may be other factors influencing T2DM bone geometry.