Generalized Joint Hypermobility and Its Relationship to Injury Patterns Among Ncaa Basketball Players

Decoster, Laura C.; Moran, Mark; Bernier, Julien; Vailas, James C.

doi:10.1097/00005768-199805001-01642

Cited by 36 publications

(63 citation statements)

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“…30 For example, Decoster et al 6 found that the rate of ankle injuries was 26% higher in athletes with generalized joint hypermobility than in athletes with normal joint mobility. The demands placed on the joints of an athlete with joint hypermobility are important to consider prospectively, because the joints generally may tolerate repetitive activity better than tasks requiring stabilization.…”

Section: Discussionmentioning

confidence: 99%

“…The demands placed on the joints of an athlete with joint hypermobility are important to consider prospectively, because the joints generally may tolerate repetitive activity better than tasks requiring stabilization. 6 Athletes with joint hypermobility also may develop compensatory mechanisms, such as premature recruitment of hip muscles, when faced with ankle perturbation. 31 These athletes, particularly females, are at greater risk than other athletes for developing hallux valgus deformity, because correlation between hypermobility and increased first metatarsal-phalangeal angles has been found.…”

Section: Discussionmentioning

confidence: 99%

“…Medial forefoot collapse may increase the athlete's risk for developing conditions such as medial tibial stress syndrome, because the forces at the foot may not be transferred proximally in an optimal fashion. It also could lead to ankle instability, increased incidence of ankle sprain, 6 and muscular problems due to the decreased mechanical advantage of the peroneus longus muscle. In addition, increased stress may move up the kinetic chain and may initiate patellofemoral pain, stress fracture, or medial tibial stress syndrome because of differences in force distribution or mechanical and anatomic changes resulting from the medial collapse.…”

Section: Discussionmentioning

confidence: 99%

“…5 Individuals with joint hypermobility may avoid strenuous physical activity because of a possible increased risk of injury. 6 However, joint hypermobility can have a performance advantage in some sports, such as gymnastics and ballet, in which excessive range of motion may be desirable. 7 Athletes with joint hypermobility often present with increased incidence of arthralgias, soft tissue lesions, recurrent joint dislocations or subluxations, sprains, and osteoarthritis.…”

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confidence: 99%

“…13 Athletes with hypermobile joints have a greater risk of ankle injury compared with athletes with normal joint mobility (26.1% and 9%, respectively). 6 Individuals with joint hypermobility have a 93% incidence of ankle joint hypermobility and are susceptible to pes planus deformity. 14 In dynamic situations (when the body is moving), the incidence of lower extremity stress fractures in individuals with pes planus deformity is nearly twice as high as in individuals with average arch height, and it is 20% greater than in individuals with pes cavus foot structure.…”

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Generalized Joint Laxity Associated With Increased Medial Foot Loading in Female Athletes

Foss

Ford

Myer

et al. 2009

Journal of Athletic Training

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Context:The relationship between generalized joint laxity and plantar pressure distribution of the foot and the potential implications for lower extremity injury have not been studied.Objective: To determine the relationship between generalized joint laxity and dynamic plantar pressure distribution. We hypothesized that individuals with greater generalized joint laxity, or hypermobility, would have greater dynamic medial midfoot pressure and loading during walking than nonhypermobile individuals.Design: Case control. Setting: Institutional biomechanics laboratory.Patients or Other Participants: Participants included 112 female soccer players between 11 and 21 years of age.Main Outcome Measure(s): Each participant was tested for generalized joint laxity using the Beighton and Horan Joint Mobility Index (BHJMI; range, 0-9) and was categorized as having either high (BHJMI score $4) or low (BHJMI score ,4) generalized joint laxity. Peak pressure and maximum force were calculated from a dynamic, barefoot plantar pressure distribution system.Results: Peak pressure and maximum force were greater in the 27 participants categorized as having high generalized joint laxity than in the 85 participants categorized as having low generalized joint laxity. The midfoot region exhibited greater loading in participants with high generalized joint laxity than in the other participants. We found an effect of BHJMI classification in the medial midfoot; peak pressure in the dominant (F 1,109 5 11.262, P 5 .001) and nondominant (F 1,109 5 14.32, P , .001) sides and maximum force in the dominant (F 1,109 5 7.88, P 5 .006) and nondominant (F 1,109 5 9.18, P 5 .003) sides were greater in the high generalized joint laxity group than in the low generalized joint laxity group.Conclusions: Athletes classified as having high generalized joint laxity demonstrated increased midfoot loading. Delineation of risk factors for medial collapse of the foot, which include hypermobility in athletes, may help clinicians evaluate and prevent lower extremity injury with treatments, such as orthoses.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Generalized Joint Laxity Associated With Increased Medial Foot Loading in Female Athletes

Foss

Ford

Myer

et al. 2009

Journal of Athletic Training

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Relationship of Joint Hypermobility with Ankle and Foot Radiographic Osteoarthritis and Symptoms in a Community‐Based Cohort

Golightly

Hannan

Nelson

et al. 2019

Arthritis Care & Research

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Nonweight‐bearing anterior knee laxity is related to anterior tibial translation during transition from nonweight bearing to weight bearing

Shultz

Shimokochi

Nguyen

et al. 2006

Journal Orthopaedic Research

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We examined the relationship between anterior knee laxity (AKL), evaluated while the knee was nonweight bearing, and anterior translation of the tibia relative to the femur (ATT), evaluated when the knee transitioned from nonweight-bearing to weight-bearing conditions in response to an applied compressive load at the foot. Twenty subjects with normal knees (10 M, 10 F; 25.2 AE 4.1 years, 169.8 AE 11.5 cm, 71.6 AE 16.9 kg) underwent measurements of AKL and ATT of the right knee on 2 days. AKL was measured at 133N with the KT-2000 TM . ATT was measured with the Vermont Knee Laxity Device and electromagnetic position sensors attached to the patella and the anteromedial aspect of the proximal tibia. Three trials for each measure were averaged and analyzed. Measurement consistency was high for both AKL (ICC ¼ 0.97; SEM ¼ 0.44 mm) and ATT (ICC ¼ 0.88; SEM ¼ 0.84 mm). Linear regression revealed that AKL predicted 35.5% of the variance in ATT (p ¼ 0.006), with a prediction equation of Y ATT ¼ 3.20 þ 0.543(X AKL ). Our findings suggest that increased AKL is associated with increased ATT as the knee transitions from nonweightbearing to weight-bearing conditions. The potential for increased knee joint laxity to disrupt normal knee biomechanics during activities such as landing from a jump, or the foot strike phase of gait deserves further study. ß

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Generalized Joint Hypermobility and Its Relationship to Injury Patterns Among Ncaa Basketball Players

Cited by 36 publications

References 0 publications

Generalized Joint Laxity Associated With Increased Medial Foot Loading in Female Athletes

Generalized Joint Laxity Associated With Increased Medial Foot Loading in Female Athletes

Relationship of Joint Hypermobility with Ankle and Foot Radiographic Osteoarthritis and Symptoms in a Community‐Based Cohort

Nonweight‐bearing anterior knee laxity is related to anterior tibial translation during transition from nonweight bearing to weight bearing

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