Acta Scientific Orthopaedics (ASOR) (ISSN: 2581-8635)

Research Article Volume 3 Issue 9

Clinical Presentation of Joint Hypermobility Syndrome of the Knee in Jordanian Military Personnel

Moh’d Rami AlAhmar, Kreem Al Rashdan, Deifallah Al Sharari, Awni Al Hdead, Zaid Al Dhamsheh and Ibrahim Amayreh

Physical Medicine and Rehabilitation Department, Amman, Jordan

*Corresponding Author: Moh’d Rami AlAhmar, Physical Medicine and Rehabilitation Department, Amman, Jordan.

Received: July 30, 2020; Published: August 08, 2020

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Abstract

Objective: To describe the findings of clinical presentation, complication, radiographic and laboratory of the knee among Jordanian military personnel diagnosed to have hyper mobile syndrome.

Methods: A prospective cohort descriptive study carried out at Royal Rehab Centre in King Hussein Medical Centre, over a period of 2 year (from May 2016 to May 2018). One hundred and twenty military patients complaining of knee problem who attended the rehabilitation clinic and diagnosed with hypermobility were enrolled in this study. Their age, sex, presenting features, clinical profile, laboratory and radiological parameters were studied.

Results: (102 males, and 18 females with M: F ratio 5.7:1), their mean age was 25.6 (range: 17-35 years), mean duration of symptoms 10.3 months.

The most common presenting complain was bilateral knee pain (72 patients, 60%) followed by unilateral knee pain (35 patients, 29%), while pain and swelling were noted in 10 patients (8%) and joint locking was observed in 3 patients (2.5%).

The commonest radiographic abnormality was premature osteoarthritis seen in 30 patients (25%) followed by ligament injury observed in 5 patients (4%), while bone bruising and contusion were documented in 3 patients (2.5%), stress fracture was reported in 2 patients (1.7%). Rheumatoid factor and anti-nuclear antibody were found to be positive in 7 patients (5.8%) and 5 patients (4%) respectively.

Conclusion: While most people with hypermobile joints remain asymptomatic a small number may have a wide range of musculoskeletal symptoms.

Hypermobility of the knee can predispose early osteoarthritis in this age group of military personnel moreover due to repetitive stress and prolonged standing in static posture, ligament or tendon injury, bone contusion and stress fracture may occur.

Keywords: Benign Hypermobility Syndrome; Knee Hypermobility; Marfan’s Syndrome; Ehler Danlos Syndrome; Beighton Score; Brighton Criteria

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References

  1. Mullick G., et al. “Clinical profile of benign joint hypermobility syndrome from a tertiary care military hospital in India”. International Journal of Rheumatic Diseases 5 (2013): 590-594.
  2. Neki NS and Chhabra A. “Benign joint hypermobility syndrome”. Journal of Mahatma Gandhi Institute of Medical Sciences 1 (2016): 12.
  3. Covaci S., et al. “Benign joint hypermobility syndrome”. Romanian Journal of Rheumatology1 (2017).
  4. Beighton P., et al. “Ehlers‐Danlos syndromes: revised nosology, Villefranche, 1997”. American Journal Of Medical Genetics1 (1998): 31-37.
  5. Beighton P., et al. “Articular mobility in an African population”. Annals of the Rheumatic Diseases5 (1973): 413.
  6. Carter C and Wilkinson J. “Persistent joint laxity and congenital dislocation of the hip”. The Journal of bone and Joint Surgery 1 (1964): 40-45.
  7. Larsson L-G., et al. “Benefits and disadvantages of joint hypermobility among musicians”. New England Journal of Medicine15 (1993): 1079-82.
  8. Ross J and Grahame R. “Joint hypermobility syndrome”. BMJ 20 (2011): 342.
  9. Grahame R and Hakim AJ. “Hypermobility”. Current Opinion in Rheumatology1 (2008): 106-110.
  10. Grahame R and Hakim A. “High prevalence of joint hypermobility syndrome in clinic referrals to a north London community hospital”. Rheumatology: OXFORD UNIV PRESS GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND (2004).
  11. Al‐Jarallah K., et al. “Prevalence of joint hypermobility in Kuwait”. International Journal of Rheumatic Diseases8 (2017): 935-940.
  12. Adib N., et al. “Joint hypermobility syndrome in childhood. A not so benign multisystem disorder?” Rheumatology6 (2005): 744-750.
  13. Decoster LC., et al. “Prevalence and features of joint hypermobility among adolescent athletes”. Archives of Pediatrics and Adolescent Medicine10 (1997): 989-992.
  14. Scher DL., et al. “Incidence of joint hypermobility syndrome in a military population: impact of gender and race”. Clinical Orthopaedics and Related Research®7 (2010): 1790-1795.
  15. Kirk J., et al. “The hypermobility syndrome. Musculoskeletal complaints associated with generalized joint hypermobility”. Annals of the Rheumatic Diseases5 (1967): 419.
  16. Beighton PH., et al. Hypermobility of joints: Springer Science and Business Media (2011).
  17. Bird H., et al. “Joint hypermobility leading to osteoarthrosis and chondrocalcinosis”. Annals of the Rheumatic Diseases 3 (1978): 203-211.
  18. Diaz MA., et al. “Joint hyperlaxity and musculoligamentous lesions: study of a population of homogeneous age, sex and physical exertion”. Rheumatology2 (1993): 120-122.
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Citation

Citation: Moh’d Rami AlAhmar., et al. “Clinical Presentation of Joint Hypermobility Syndrome of the Knee in Jordanian Military Personnel". Acta Scientific Orthopaedics 3.9 (2020): 04-09.




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