Subacromial space outlet in female patients with multidirectional instability based on hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder measured by ultrasound

Kjær, Birgitte Hougs; Wandele, Inge De; Spanhove, Valentien; Juul-Kristensen, Birgit; Cools, Ann

doi:10.1016/j.jse.2019.08.003

Cited by 12 publications

(15 citation statements)

References 48 publications

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“…This last study found that hEDS/JHS patients had a larger subacromial space outlet than did the control group. 4) In addition, both groups had increased occupation of the supraspinatus tendon in the subacromial area when the arm was elevated compared to the resting position. The last was an indication that narrowing of the subacromial space occurs with arm elevation regardless of the presence of hEDS/JHS syndrome.…”

Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 94%

“…Another study evaluated the acromiohumeral distance between 29 female patients diagnosed with hEDS or JHS and 20 healthy controls by evaluating the relative amount the supraspinatus tendon occupies in the subacromial area, using ultrasound. 4) The measurements were performed in 45° and 60° of active arm elevation in the scapular plane. This last study found that hEDS/JHS patients had a larger subacromial space outlet than did the control group.…”

Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 99%

“…The last was an indication that narrowing of the subacromial space occurs with arm elevation regardless of the presence of hEDS/JHS syndrome. 4) By identifying that patients with hEDS/JHS has a larger subacromial space outlet than healthy patients during arm elevation, the impact of hEDS/JHS on the biomechanical function of the shoulder joint might be better understood and treatment protocols can be modified accordingly when managing these patients. 4 12 13) …”

Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 99%

“… 3) Therefore, the diagnosis of hEDS is clinical. 4) Malfait et al 2) have described the diagnostic criteria for hEDS, which include the presence of JHS. It is important to notice that JHS and hEDS constitute 2 distinct inherited disorders of the connective tissue with significant overlapping in clinical manifestations (hyperextensible skin, recurrent joint subluxation/dislocation, chronic arthralgia, limping, and positive family history).…”

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confidence: 99%

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Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

et al. 2020

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Ehlers-Danlos Syndrome (EDS) is a hereditary disorder of the connective tissue, which has been classified into numerous subtypes over the years. EDS is generally characterized by hyperextensible skin, hypermobile joints, and tissue fragility. According to the 2017 International Classification of EDS, 13 subtypes of EDS have been recognized. The majority of genes involved in EDS are either collagen-encoding genes or genes encoding collagen-modifying enzymes. Orthopedic surgeons most commonly encounter patients with the hypermobile type EDS (hEDS), who present with signs and symptoms of hypermobility and/or instability in one or more joints. Patients with joint hypermobility syndrome (JHS) might also present with similar symptomatology. This article will focus on the surgical management of patients with knee or shoulder abnormalities related to hEDS/JHS.

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Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 94%

Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 99%

Section: Shoulder Instability In Heds/jhs Patientsmentioning

confidence: 99%

mentioning

confidence: 99%

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Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

et al. 2020

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“…It is estimated that EDS occurs, on average, in 1/5,000 births in the world population, where the hypermobile type is most common and 90% are women [8,9]. Among the basic symptoms of EDS are elastic skin, susceptibility to injuries and hypermobility of joints [1,10].…”

Section: Introductionmentioning

confidence: 99%

Difficulties in diagnosis and selection of optimal diagnostic methods for hypermobile Ehlers Danlos Syndrome – literature review

Drabik¹,

Byś²,

Gawda³

2020

Med Og Nauk Zdr.

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Introduction and objective. Ehlers Danlos Syndrome-Hypermobile Type (EDS-HT), in which the genetic basis could not be determined and mutations of collagen fibrillar proteins were excluded, is one of the most common types of EDS. It is a disease characterized by many symptoms of varying severity. The purpose of the study is to determine the most important diagnostic factors for EDS-HT based on current literature. Materials and method. Searching PubMed publication databases, Google Scholar and Science Direct, by using a combination of key words: hEDS diagnosis, hypermobile EDS, hypermobility. Brief description of the state of knowledge. 19 papers were selected for the literature review, among which 8 concern the adequacy of the Beighton result in the diagnosis of EDS-HT, and another 11 the quality of life of people with EDS-HT, as well as the assessment and diagnosis of other symptoms accompanying this disease. Conclusions. In order to diagnose EDS-HT, one should be guided not only by the established standard, which is the Beighton score, but also by additional tests that would confirm the diagnostic decision and reduce the risk of error. Extension of diagnostic tests with additional criteria, which are presented in the article, would make diagnoses more accurate and reduce the possibility of false diagnoses. This is very important from the perspective of implementing appropriate treatment and the mental comfort of the patient.

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Common Upper Extremity Injuries in Pediatric Athletes

Watkins

Borja

Ramirez

2022

Curr Rev Musculoskelet Med

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Purpose of Review The aim of this study is to review the most recent literature on common upper extremity injuries in pediatric athletes and discuss their diagnosis, management, and outcomes. We also highlight ultrasound as a tool in their evaluation. Recent Findings Shoulder conditions presented include little league shoulder, glenohumeral rotation deficit, acute traumatic shoulder dislocation, and multidirectional shoulder instability. Elbow conditions include capitellar OCD, medial epicondyle avulsion fracture, and medial epicondylitis. We also review scaphoid fractures and gymnast wrist. Not all physeal injuries lead to long-term growth disruption. Ultrasound has been shown to be useful in the diagnosis of scaphoid fracture, medial epicondyle avulsion fractures, and capitellar OCD. It can also be helpful in assessing risk for shoulder and elbow injuries in overhead athletes. Summary There is a rising burden of upper extremity injuries among pediatric athletes. Knowledge of their sport specific mechanics can be helpful in diagnosis. As long-term outcome data become available for these conditions, it is clear, proper diagnosis and management are critical to preventing adverse outcomes. We highlight many of these injuries, best practice in care, and controversies in care in hopes of improving outcomes and preventing injury for pediatric athletes.

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Subacromial space outlet in female patients with multidirectional instability based on hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder measured by ultrasound

Cited by 12 publications

References 48 publications

Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

Difficulties in diagnosis and selection of optimal diagnostic methods for hypermobile Ehlers Danlos Syndrome – literature review

Common Upper Extremity Injuries in Pediatric Athletes

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