Background: A wide range of musculoskeletal abnormalities are associated with diabetes, which are multifactorial in origin.
The present study aims to study the X–ray changes in small joints of diabetic patients and their correlation with other microvascular complications of diabetes.

Methods: The present study is a cross sectional observational study including 50 patients which was completed over a period of 2 years. The included patients were subjected to joint examination and X–rays of both hand and feet. Patients were also investigated for presence of Nephropathy, Retinopathy and Clinically examined for neuropathy.

Results: Out of 50 patients only 6% had symptoms in hands and 8% in feet both examination and X–rays showed evidence of joint involvement.

Conclusion: Diabetic small joint involvement on X–rays was seen in 50% of our patients and correlated well with glycaemic control and proprioceptive neuropathy in feet.