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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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.

Copyright

Copyright: © 2020 Moh’d Rami AlAhmar., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.