Benign hypermobility syndrome in Greek schoolchildren

Vougiouka, Olga; Moustaki, Maria; Tsanaktsi, Maria

doi:10.1007/pl00008391

Cited by 30 publications

(21 citation statements)

References 4 publications

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“…These conflicting findings may be due to methodological differences used for assessing ROM. It might be expected that AROM may be more limited than passive PROM by the pain [2,4] and muscle weakness [13] reported in children with HMS and such factors may explain the reduced active knee flexion reported by Engelbert et al [10]. In order to develop an appropriate gait improvement strategy for children with HMS, there is a need for clinicians to understand the nature of gait abnormalities in children with this condition.…”

Section: Introductionmentioning

confidence: 95%

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Gait kinematics and passive knee joint range of motion in children with hypermobility syndrome

Fatoye¹,

Palmer²,

Linden³

et al. 2011

Gait & Posture

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Section: Introductionmentioning

confidence: 95%

“…The knee joint is most frequently affected by the symptoms of HMS [2][3][4][5]. Due to joint laxity, abnormal joint biomechanics may be a feature of HMS [6,7] and gait re-education has been recommended as an important component of treatment for children with HMS [8,9].…”

Section: Introductionmentioning

confidence: 99%

Gait kinematics and passive knee joint range of motion in children with hypermobility syndrome

Fatoye¹,

Palmer²,

Linden³

et al. 2011

Gait & Posture

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“…The reported prevalence of generalized joint laxity in children ages 6–15 years varies between 8.8% (5) and 64.6% (6). One explanation for the wide range of these prevalence estimates is that previous studies have been performed on selected populations (5–12).…”

mentioning

confidence: 99%

Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: A population‐based evaluation

Clinch

Deere

Sayers

et al. 2011

Arthritis & Rheumatism

142

158

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Although diagnostic criteria for generalised ligamentous laxity (hypermobility) in children are widely used, they may have limited validity as robust descriptive epidemiology of this condition is lacking. We used a large population-based birth cohort to describe the point prevalence and pattern of hypermobility in children aged 14 years. We performed a cross-sectional analysis of the Avon Longitudinal Study of Parents and Children (ALSPAC). Hyperrmobility was measured at aged 14 years using the Beighton scoring system. Objective measures of physical activity were collected by accelerometry. Data were collected on other variables including puberty and socio-economic status. Simple prevalence was calculated. Chi-squared tests and logistic regression were used to assess associations between variables and hypermobility. 6022 children were evaluated. Using a cut-off of ≥4, the prevalence of hypermobilty in girls and boys aged 13.8 years was 27.5% and 10.6% respectively. 45% of girls and 29% of boys had hypermobile fingers. There was a suggestion of a positive association between hypermobility in girls and variables including physical activity, body mass index and maternal education. No associations were seen in boys. We have shown that the prevalence of hypermobility in UK children is high; possibly suggesting that the Beighton cut off is too low or that the score is not appropriate in a developing musculoskeletal system. These results give a platform to evaluate the relationships between the Beighton criteria and key clinical features (including pain), thereby testing the clinical validity of this score in the childhood population.

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“…Meniscal injuries are known to affect the degree of rotatory knee laxity [41, 42]. Further, age and gender are factors that influence the amount of joint laxity [10, 43, 44]. Adjusting for these three factors, we were able to consolidate the previously established connection between the image analysis system and generalized joint laxity in the non-involved knee.…”

Section: Discussionmentioning

confidence: 70%

Correlation between quantitative pivot shift and generalized joint laxity: a prospective multicenter study of ACL ruptures

Sundemo

Blom²,

Hoshino

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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PurposeTo investigate whether an increased magnitude of quantitative rotatory knee laxity is associated with a greater level of generalized joint laxity in ACL-injured and contralateral knees.MethodsA total of 103 patients were enrolled across four international centers to undergo anatomic ACL reconstruction. Rotatory knee laxity was evaluated preoperatively, both in the awake state and under anesthesia, using the standardized pivot shift test. Two devices were used to quantify rotatory knee laxity; an inertial sensor, measuring the joint acceleration, and an image analysis system, measuring the lateral compartment translation of the tibia. The presence of generalized joint laxity was determined using the Beighton Hypermobility Score. The correlation between the level of generalized joint laxity and the magnitude of rotatory knee laxity was calculated for both the involved knee and the non-involved knee. Further, patients were dichotomized into low (0–4) or high (5–9) Beighton Score groups. Alpha was set at < 0.05.ResultsNinety-six patients had complete datasets, 83 and 13 in the low and high Beighton Score groups respectively. In anesthetized patients, there was a significant correlation between the degree of Beighton Score and quantitative pivot shift when analyzing the non-involved knee using the image analysis system (r = 0.235, p < 0.05). When analyzing the same knee, multivariate analysis adjusted for meniscal injury, age and gender revealed an increased odds ratio for patients with increased lateral compartment translation to be part of the high Beighton Score group (OR 1.86, 95% CI 1.10–3.17, p < 0.05). No other correlation was significant. When analyzing the dichotomized subgroups, no significant correlations could be established.ConclusionThe findings in this study suggest that there is a weak correlation between generalized joint laxity and the contralateral healthy knee, indicating increased rotatory knee laxity in these patients. Generalized joint laxity does not appear to correlate with rotatory knee laxity in ACL-injured knees.Level of evidenceProspective cohort study; level of evidence, 2.

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Benign hypermobility syndrome in Greek schoolchildren

Abstract: Since the incidence of benign hypermobility syndrome is significantly high in otherwise healthy children, paediatricians should consider this benign entity when they evaluate musculoskeletal complaints in childhood.

Cited by 30 publications

References 4 publications

Gait kinematics and passive knee joint range of motion in children with hypermobility syndrome

Gait kinematics and passive knee joint range of motion in children with hypermobility syndrome

Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: A population‐based evaluation

Correlation between quantitative pivot shift and generalized joint laxity: a prospective multicenter study of ACL ruptures

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