Generalised ligament laxity and shoulder dislocations after sports injuries

Akhtar, Mohammed Abid; Robinson, C. M.

doi:10.1136/bjsm.2010.078972.9

Cited by 9 publications

(6 citation statements)

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“…Despite, the burgeoning literature describing the high percentage of injuries in athletes with BJHS [3,21,38] , only a few studies have used a dance cohort [12,47,48,69] ( • ▶ Table 3 ). Klemp and…”

Section: Injuries In the Hypermobile Dancing Population ▼mentioning

confidence: 99%

Hypermobility and Dance: A Review

Day

Koutedakis²,

Wyon³

2011

Int J Sports Med

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Joint hypermobility is defined as an excessive range of motion. Although the dance profession has often promoted hypermobility for aesthetic reasons, there is a belief amongst health professionals that potential risks associated with the condition may have been overlooked. The aims of this review were to examine the epidemiology of joint hypermobility in dancers; the effects on fatigue and bone health; the injury profile of hypermobile dancers; and the use of the Beighton score as a diagnostic tool. Depending on the criteria used, epidemiological studies suggest that hypermobility among dancers can be as high as 44%, especially in students. As hypermobility has been linked to fatigue in the general population, the hypermobile dancer should be careful given the association between fatigue and aetiology of injury in dance. Similarly, in light of research encouraging dancers to become fitter, this recommendation may not be appropriate for hypermobile dancers. In addition, the Beighton score used in most dance related studies may not be an appropriate measure of hypermobility in these populations. More research is necessary into this area to ascertain the reasons for the attrition rate from student to soloist/principal level and whether it is linked to dance health and injury issues.

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Section: Injuries In the Hypermobile Dancing Population ▼mentioning

confidence: 99%

Hypermobility and Dance: A Review

Day

Koutedakis²,

Wyon³

2011

Int J Sports Med

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“…Consequently, long-term stress promotes the development of degenerative diseases if pain and aches are ignored or left untreated [ 9 , 10 , 11 ]. An increased risk of anterior cruciate ligament rupture [ 12 ] or shoulder dislocation [ 13 ] is also attributed to an impaired architecture of the connective tissue. Although most complaints are related to sport, non-athletes may also sustain recurrent overuse injuries [ 10 , 11 , 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Specific Bioactive Collagen Peptides on Knee Joint Discomfort in Young Physically Active Adults: A Randomized Controlled Trial

et al. 2021

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First evidence indicates that the supplementation of specific collagen peptides is associated with a significant reduction in activity-related joint pain in young adults. The purpose of the current investigation was to confirm the efficacy of the same collagen peptides in a comparable study population. In total, 180 active men and women aged between 18 and 30 years with exercise-related knee pain but no diagnosed joint disease completed the trial over a period of 12 weeks. Participants were randomly assigned to the group receiving 5 g of specific collagen peptides (CP-G) or to the placebo group (P-G). For the primary outcome, changes in pain during or after exercise from pre- to post-intervention were assessed by the participants using the Visual Analog Scale (VAS). These changes were additionally evaluated by the examining physician by means of anamnesis and physical examination of the affected knee joint. As secondary outcomes, pain under resting conditions and after 20 squats were compared between the study groups. In addition, the mobility of the knee joint and the use of alternative therapies (e.g., ointments or physiotherapy) were recorded. The supplementation of specific collagen peptides derived from type I collagen with a mean molecular weight of 3 kDa led to a significantly (p = 0.024) higher reduction of exercise-induced knee pain (−21.9 ± 18.3 mm) compared with the placebo group (−15.6 ± 18.5 mm). These findings were consistent with the physician’s evaluation (−23.0 ± 19.2 mm vs. −14.6 ± 17.9 mm, p = 0.003). The decrease in pain under resting conditions and after squats did not significantly differ between the groups, as only a small number of participants suffered from pain under these conditions. Due to the clinically unremarkable baseline values, the mobility of the knee joint did not change significantly after the intervention. In conclusion, the current investigation confirmed that the oral intake of bioactive collagen peptides used in the current investigation led to a statistically significant reduction of activity-related joint pain in young active adults suffering from knee joint discomfort.

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“…30 It has been implicated with musculoskeletal injuries, such as shoulder instability and anterior cruciate ligament (ACL) ruptures. 1,28,34 In a study by Ramesh, 28 42.6% of patients with ACL injury had GLL, as compared with 21.5% in the control group. The authors suggested that GLL was a significant risk factor for ACL injury.…”

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confidence: 98%

Prevalence of Generalized Ligamentous Laxity in Patients Undergoing Hip Arthroscopy: A Prospective Study of Patients’ Clinical Presentation, Physical Examination, Intraoperative Findings, and Surgical Procedures

et al. 2019

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Background: Recent studies identified microinstability in the hip as a pathoetiology of painful hip conditions, and it was proposed that generalized ligamentous laxity conditions may predispose patients to such microinstability. Purpose: To study the relationship of generalized ligamentous laxity with patient characteristics, clinical presentation, intraoperative findings, and surgical treatments in a cohort of patients undergoing hip arthroscopy. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Registry data were prospectively collected and retrospectively reviewed between February 2014 and November 2017 for patients who underwent primary hip arthroscopy and had a documented Beighton score to assess generalized ligamentous laxity. Patients with a history of an ipsilateral hip condition or ipsilateral hip surgery, those with Tönnis grade >1, and those who had simultaneous arthroscopic and open procedures were excluded from the study. Two comparisons were made between patients with low and high Beighton scores: Beighton 0 vs ≥1 (B 0 vs B ≥1) and Beighton 0-3 vs ≥4 (B 0-3 vs B ≥4). Patient demographics, symptomatology, physical examination, and intraoperative findings were compared between these low and high Beighton groups. Results: A total of 1381 patients met our inclusion and exclusion criteria. Within this patient population, there were 882 with B 0, 499 with B ≥1, 1120 with B 0-3, and 261 with B ≥4. B 0 was 54.1% female, compared with 84.2% of B ≥1. Similarly, B 0-3 was 58.5% female, while B ≥4 was 92.7% female. The difference in sex makeup was significant between both sets of groups (P < .0001). The relative risk of having B ≥1 for women versus men was 2.869, and the relative risk of having B ≥4 for women versus men was 6.873. The patients with higher Beighton scores in B ≥1 and B ≥4 had a younger mean age at onset of symptoms (P < .0001) and lower mean body mass index (P < .0001) than those in B 0 and B 0-3, respectively. The B ≥1 group had higher preoperative range of motion with internal rotation (P = .05), external rotation (P = .017), and flexion (P < .0001) than B 0 patients, as well as a lower frequency of Trendelenburg gait pattern (P = .0268). Similarly, the B ≥4 group had higher range of motion than the B 0-3 group with internal rotation (P = .030), external rotation (P = .003), flexion (P < .0001), and abduction (P = .002). As compared with the lower-score groups, the higher-score groups also had smaller labral size and tear dimension (P < .0001), and a higher proportion of these patients underwent labral repair, capsular repair, and iliopsoas fractional lengthening. Conclusion: Patients undergoing hip arthroscopy who have generalized ligamentous laxity are overall younger, have a lower body mass index, and are more often female, as compared with patients who have lesser laxity. Patients with higher preoperative Beighton scores had greater hip range of motion and smaller intraoperative labral size and tear dimensions. Additionally, these patients were more likely to u...

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Generalised ligament laxity and shoulder dislocations after sports injuries

Cited by 9 publications

References 0 publications

Hypermobility and Dance: A Review

Hypermobility and Dance: A Review

The Influence of Specific Bioactive Collagen Peptides on Knee Joint Discomfort in Young Physically Active Adults: A Randomized Controlled Trial

Prevalence of Generalized Ligamentous Laxity in Patients Undergoing Hip Arthroscopy: A Prospective Study of Patients’ Clinical Presentation, Physical Examination, Intraoperative Findings, and Surgical Procedures

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