“…Articular hypermobility is restricted to the small joints [Byers et al, 19831. Fibroblasts cultured from virtually all individuals with EDS type IV have defects in the synthesis, structure, or secretion of type I11 procollagen [Pope et al, 1975;Byers and Holbrook, 1985;Stolle et al, 1985;Tsipouras et al, 1986;SupertiFurga and Steinmann, 1988;Temple et al, 1988;Nicholls et al, 1988;Superti-Furga et al, 1989;Tromp et al, 19891.…”