Severe cartilage damage of the knee joint in two young women with hypermobility

Abstract

The purpose of this pictorial assay is to show the arthroscopic findings of two patients with hypermobility syndrome and patellofemoral malalignment. Severe chondral damage and recurrent bleeding were common findings in these patients. One patient also had a meniscal impingement syndrome. A dynamic assessment of the patellofemoral joint as well as the evaluation of the lateral and medial retinaculum was performed by arthroscopy. Pictures of damaged area on the articular cartilage were obtained through a 5-mm arthroscope using standard portals. A lack of the patellae retinaculum involvement was proved arthroscopically in both cases. Mechanical complaints and recurrent effusion, even without history of trauma, should alert physicians who manage patients with hypermobility. In patients with joint hypermobility, the damage of the cartilage is real and often a therapeutic challenge.

Joint hypermobility is not positively associated with prevalent multiple joint osteoarthritis: a cross-sectional study of older adults

“…Abnormalities in collagen and elastin may contribute to ligamentous laxity, with less severe defects occurring in isolated forms of joint hypermobility syndrome compared to heritable collagen diseases, such as Ehlers-Danlos syndrome [3]. Hypermobility may contribute to joint injury [4] (microtraumas over time from stresses to joint structures at extremes of range of motion or an increased susceptibility to a single major traumatic event), pain [5], and damage to atypical contact areas of cartilage tissue [6]. Due to this propensity for altered biomechanics and injury, joint hypermobility may be a unique risk factor for OA [7, 8].…”

Gait pattern in 9-11-year-old children with generalized joint hypermobility compared with controls; a cross-sectional study

“…Several symptoms have been related to ‘hypermobility’ in children, such as arthralgia [16], growing pain [17], anterior knee pain syndrome, distortion, subluxation or dislocation episodes [18], soft tissue rheumatism [19], joint swelling often after physical activity [18], and severe cartilage damage in the knees [20]. Symptoms from the knee are described as the most frequent symptoms in relation to hypermobility [21,22].…”

The discovery of the synovial lymphatic stomata and lymphatic reabsorption in knee effusion

“…Joint effusion is one of the most common clinical manifestations of the knee joint disease (Checa, ). However, the exact mechanism of the knee joint effusion has not yet been revealed.…”