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Hypermobility and injuries

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https://www.readbyqxmd.com/read/27908650/musculoskeletal-conditions-in-a-pediatric-population-with-ehlers-danlos-syndrome
#1
Courtney M Stern, Michael J Pepin, Joan M Stoler, Dennis E Kramer, Samantha A Spencer, Cynthia J Stein
OBJECTIVE: To describe musculoskeletal conditions in children with Ehlers-Danlos syndrome (EDS). STUDY DESIGN: A retrospective medical record review was performed, which evaluated 205 patients with EDS (ages 6-19 years) seen in sports medicine or orthopedic clinic at a large pediatric hospital over a 5-year period. RESULTS: Female (n = 147) and male (n = 57) patients were identified (mean age 12.7 years). The most common EDS subtype (55...
November 28, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27904790/current-concepts-in-the-treatment-of-gross-patellofemoral-instability
#2
Grant Buchanan, LeeAnne Torres, Brian Czarkowski, Charles E Giangarra
: Patellofemoral instability is a painful and commonly recurring condition, which often must be managed surgically. Diagnosis can be aided by the use of a variety of physical exam signs, such as the Q angle, Beighton hypermobility score, glide test, J sign, patellar tilt test, and apprehension test. Imaging modalities including x-ray, CT, and MRI guide both diagnosis and management by revealing trochlear dysplasia, bony malalignment, and ligamentous injury that contribute to instability...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27824552/ehlers-danlos-syndrome-hypermobility-type-a-much-neglected-multisystemic-disorder
#3
REVIEW
Yael Gazit, Giris Jacob, Rodney Grahame
Ehlers-Danlos syndrome (EDS)-hypermobility type (HT) is considered to be the most common subtype of EDS and the least severe one; EDS-HT is considered to be identical to the joint hypermobility syndrome and manifests with musculoskeletal complaints, joint instability, and soft tissue overuse injury. Musculoskeletal complaints manifest with joint pain of non-inflammatory origin and/or spinal pain. Joint instability leads to dislocation or subluxation and involves peripheral joints as well as central joints, including the temporomandibular joints, sacroiliac joints, and hip joints...
October 31, 2016: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/27650073/pediatric-cervical-spine-in-emergency-radiographic-features-of-normal-anatomy-variants-and-pitfalls
#4
Omar Adib, Emeline Berthier, Didier Loisel, Christophe Aubé
Injuries of the cervical spine are uncommon in children. The distribution of injuries, when they do occur, differs according to age. Young children aged less than 8 years usually have upper cervical injuries because of the anatomic and biomechanical properties of their immature spine, whereas older children, whose biomechanics more closely resemble those of adults, are prone to lower cervical injuries. In all cases, the pediatric cervical spine has distinct radiographic features, making the emergency radiological analysis of it difficult...
September 20, 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27428527/the-effect-of-hypermobility-on-the-incidence-of-injury-in-professional-football-a-multi-site-cohort-study
#5
Matt Konopinski, Ian Graham, Mark I Johnson, Gareth Jones
BACKGROUND: A recent study demonstrated joint hypermobility increased the incidence of injury in an elite football team utilising a univariate statistical model. OBJECTIVES: To compare injury incidence between hypermobile and non-hypermobile elite football players incorporating a multi-site design and multivariate inferential statistics. METHODS: 80 players comprising 3 English Championship football teams were followed prospectively during the 2012-2013 season...
September 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27413535/the-association-between-generalized-joint-hypermobility-and-active-horizontal-shoulder-abduction-in-10-15%C3%A2-year-old-competitive-swimmers
#6
Tina Junge, Peter Henriksen, Heidi Lund Andersen, Linette Dyg Byskov, Hans Kromann Knudsen, Birgit Juul-Kristensen
BACKGROUND: Increased shoulder mobility and Generalised Joint Hypermobility (GJH) are assumed to be predisposing risk factors for shoulder injuries. The association between GJH and shoulder mobility among competitive swimmers is unknown. The aim was to study the association between GJH and active horizontal shoulder abduction (AHSA) in young, competitive swimmers and to describe normative values of AHSA in this group. METHODS: In total, 92 swimmers (10-15 years) without shoulder pain participated...
2016: BMC Sports Science, Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27404533/hypermobility-and-knee-injuries
#7
M E Steiner
In brief: The effect of knee joint hypermobility on knee injury is not fully clear. Inherited flexibility probably plays little role in the causes of most knee injuries. The exception is patellar dislocation, which is strongly associated with hypermobility. Discussions of hypermobility often reflect confusion over the difference between flexibility and laxity. In general, flexibility refers to a joint's range of motion and is a function of muscle and tendon tightness, while laxity refers to joint distraction and shear and is a function of ligament tightness...
June 1987: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27359794/baseline-correlates-of-running-injury-hip-hypermobility-but-not-lower-limb-strength-relates-to-future-running-injury-650-june-1-2-15-pm-2-30-pm
#8
Dovin Kiernan, Rebecca Krupenevich, Jae Kun Shim, Ross H Miller
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27273746/quality-of-life-unmet-needs-and-iatrogenic-injuries-in-rehabilitation-of-patients-with-ehlers-danlos-syndrome-hypermobility-type-joint-hypermobility-syndrome
#9
Claire Bovet, Matthew Carlson, Matthew Taylor
Ehlers-Danlos Syndrome, hypermobility type (EDS-HT) and the joint hypermobility syndrome (JHS) are connective tissue disorders that form an overlapping clinical syndrome and are associated with frequent medical visits and substantial morbidity. EDS-HT/JHS-associated pain correlates with poor quality of life. While physical therapy is the recommended treatment for EDS-HT/JHS, little is known about therapy-related patient experiences and iatrogenic injuries. We studied 38 adult EDS-HT/JHS patients, eliciting health-related quality of life (HRQoL) from 28 patients through the RAND SF-36 questionnaire...
August 2016: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/27219302/joint-hypermobility-and-joint-range-of-motion-in-young-dancers
#10
Nili Steinberg, Israel Hershkovitz, Aviva Zeev, Bruce Rothschild, Itzhak Siev-Ner
BACKGROUND: Joint range of motion (ROM) refers to the extent of movement of the joint, recorded using standard goniometers. Joint hypermobility (JHM) is a condition in which most of the synovial joints move beyond the "normal" limits. Joint hypermobility is recognized as a feature of heritable disorders of the connective tissue and can be identified mostly by the Beighton scale. Data on the possible relationship between JHM and joint ROM are lacking in the literature. The main objective of the present study was to evaluate the relationship between JHM and joint ROM in the different lower-extremity joints in young dancers...
June 2016: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/27104055/lower-extremity-hypermobility-but-not-core-muscle-endurance-influences-balance-in-female-collegiate-dancers
#11
Jatin P Ambegaonkar, Nelson Cortes, Shane V Caswell, Gautam P Ambegaonkar, Matthew Wyon
BACKGROUND: Dance is a physically demanding activity, with almost 70% of all injuries in dancers occurring in the lower extremity (LE). Prior researchers report that muscle function (e.g. muscle endurance) and anatomical factors (e.g. hypermobility) affect physical performance (e.g. balance) and can subsequently influence LE injury risk. Specifically, lesser core muscle endurance, balance deficits, and greater hypermobility are related to increased LE injury risk. However, the potentials interrelationships among these factors in dancers remain unclear...
April 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27102338/brain-injury-unmasking-ehlers-danlos-syndromes-after-trauma-the-fiber-print
#12
Claude Hamonet, Daniel Frédy, Jérémie H Lefèvre, Sacha Bourgeois-Gironde, Jean-David Zeitoun
BACKGROUND: The role of physical trauma in the onset of symptoms in Ehlers-Danlos syndrome (EDS) has never been characterized. We sought to search and describe brain lesions EDS patients also having personal history of physical trauma. We systematically performed brain magnetic resonance imaging in a first cohort of patients with a hypermobility type of EDS which described the onset of their disease or its worsening after a physical trauma. Unexpected yet consistent findings that were thought to be related to the reported traumas led to perform brain imaging in all subsequent patients with similar symptoms regardless of a history of trauma and to search for a prior trauma by active questioning...
April 22, 2016: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/27052405/mechanical-role-of-the-posterior-column-components-in-the-cervical-spine
#13
Robert A Hartman, Robert E Tisherman, Cheng Wang, Kevin M Bell, Joon Y Lee, Gwendolyn A Sowa, James D Kang
PURPOSE: To quantify the mechanical role of posterior column components in human cervical spine segments. METHODS: Twelve C6-7 segments were subjected to resection of (1) suprasinous/interspinous ligaments (SSL/ISL), (2) ligamenta flavum (LF), (3) facet capsules, and (4) facets. A robot-based testing system performed repeated flexibility testing of flexion-extension (FE), axial rotation (AR), and lateral bending (LB) to 2.5Nm and replayed kinematics from intact flexibility tests for each state...
July 2016: European Spine Journal
https://www.readbyqxmd.com/read/27047888/iincidence-of-ankle-sprains-in-soccer-players-with-joint-hypermobility-syndrome
#14
Rodrigo Barreiros Vieira, Fabricio Melo Bertolini, Tallys Campos Vieira, Rodrigo Manso Aguiar, Guilherme Baldez Pinheiro, Rodrigo Campos Pace Lasmar
OBJECTIVE: Eighty-three soccer players aged between 14 and 19 years, in the basic category of a professional soccer club in the city of Belo Horizonte, were followed up during the 2009 season. METHODS: A prospective observational cohort study was conducted, in which these soccer players were divided randomly into two groups. The first consisted of individuals with joint hypermobility syndrome (JHS), totaling 22 players, and the second was a control group with 61 players without this syndrome, determined through a physical examinati...
2012: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27025447/femoral-shaft-torsion-in-injured-and-uninjured-ballet-dancers-and-its-association-with-other-hip-measures-a-cross-sectional-study
#15
Eliza Hafiz, Claire E Hiller, Leslie L Nicholson, Elizabeth J Nightingale, Alison Grimaldi, Kathryn M Refshauge
Low range femoral torsion, termed "lateral shaft torsion," has been associated with greater range of hip external rotation and turnout in dancers. It is also hypothesized that achieving greater turnout at the hip minimizes torsion at the knee, shank, ankle, and foot, and consequently reduces incidence of lower limb injuries. The primary aims of this study were to investigate: 1. differences in range of femoral shaft torsion between dancers with and without lower limb injuries; and 2. the relationship between femoral shaft torsion, hip external rotation range, and turnout...
March 2016: Journal of Dance Medicine & Science
https://www.readbyqxmd.com/read/26988889/bilateral-hypermobility-of-ulnar-nerves-at-the-elbow-joint-with-unilateral-left-ulnar-neuropathy-in-a-computer-user-a-case-study
#16
Magdalena Lewańska, Andrzej Grzegorzewski, Jolanta Walusiak-Skorupa
Occupational ulnar neuropathy at the elbow joint develops in the course of long term direct pressure on the nerve and a persistently flexed elbow posture, but first of all, it is strongly associated with "holding a tool in a certain position" repetitively. Therefore, computer work only in exceptional cases can be considered as a risk factor for the neuropathy. Ulnar hypermobility at the elbow might be one of the risk factors in the development of occupational ulnar neuropathy; however, this issue still remains disputable...
2016: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/26746779/congenital-insensitivity-to-pain-fracturing-without-apparent-skeletal-pathobiology-caused-by-an-autosomal-dominant-second-mutation-in-scn11a-encoding-voltage-gated-sodium-channel-1-9
#17
Voraluck Phatarakijnirund, Steven Mumm, William H McAlister, Deborah V Novack, Deborah Wenkert, Karen L Clements, Michael P Whyte
Congenital insensitivity to pain (CIP) comprises the rare heritable disorders without peripheral neuropathy that feature inability to feel pain. Fracturing and joint destruction are common complications, but lack detailed studies of mineral and skeletal homeostasis and bone histology. In 2013, discovery of a heterozygous gain-of-function mutation in SCN11A encoding voltage-gated sodium channel 1.9 (Nav1.9) established a distinctive CIP in three unrelated patients who suffered multiple painless fractures, self-inflicted mutilation, chronic diarrhea, and hyperhidrosis...
March 2016: Bone
https://www.readbyqxmd.com/read/26731093/correlations-between-general-joint-hypermobility-and-joint-hypermobility-syndrome-and-injury-in-contemporary-dance-students
#18
Alia Ruemper, Katherine Watkins
The first objective of this study was to ascertain the prevalence of general joint hypermobility (GJH) and joint hypermobility syndrome (JHS) in BA Dance Theatre 1st and 3rd year students at a contemporary dance conservatory. The second objective was to determine the statistical correlation between GJH, JHS, and injury in this population. A total of 85 (female, N = 78; male, N = 7) contemporary dance students participated in the study. The Beighton score (with a forward flexion test modification) was used to determine GJH, and the Brighton criteria were used to verify JHS...
December 2012: Journal of Dance Medicine & Science
https://www.readbyqxmd.com/read/26516572/how-do-people-with-chronically-painful-joint-hypermobility-syndrome-make-decisions-about-activity
#19
Anne Schmidt, Kelley Corcoran, Rodney Grahame, Amanda C de C Williams
BACKGROUND: The model of activity avoidance prompted by fear of increased pain and/or harm dominates understanding and research into activity limitation in chronic pain. Yet, the accounts of people with chronic pain on decisions about activity limitation are rarely heard beyond the confines of fear and avoidance questionnaires. METHODS: We used semi-structured interviews to explore the decisions of 11 women attending a pain management clinic with chronically painful Joint Hypermobility Syndrome (JHS)...
August 2015: British Journal of Pain
https://www.readbyqxmd.com/read/26452443/ehlers-danlos-syndrome-s-mimicking-child-abuse-is-there-an-impact-on-clinical-practice
#20
Marco Castori
Ehlers-Danlos syndrome is a heterogeneous group of heritable connective tissue disorders characterized by increased fragility of various non-ossified tissues. It is usually ascertained due to abnormal skin texture, scarring complications, vascular fragility, or chronic symptoms, such as fatigue and musculoskeletal pain. Sometimes, Ehlers-Danlos syndrome remains undetected until the patient, usually in the pediatric age, shows extensive or severe mucocutaneous injuries after only minor traumas. In this scenario, the misdiagnosis of Ehlers-Danlos syndrome with child abuse is a possibility, as occasionally reported in the literature...
December 2015: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
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