CASE REPORT
Benign joint hypermobility syndrome
Submission date: 2014-10-21
Final revision date: 2014-11-12
Acceptance date: 2014-11-13
Online publication date: 2014-11-30
Publication date: 2014-12-31
Reumatologia 2014;52(6):398-401
KEYWORDS
TOPICS
ABSTRACT
Benign joint hypermobility syndrome (BJHS), commonly known as loose ligament syndrome, is a non-inflammatory rheumatic condition. It is characterised by a greater than normal range of motion of the joints of the limbs and spine. The prevalence of the syndrome in preschool-age children is estimated to be between 2% and 30%, depending on ethnic background (with higher prevalence in Asian and African populations), occurring most often in families with a history of the condition and more frequently in girls. This paper presents a case report of a 12-year-old girl. A broad differential diagnostic approach to recurrent joint inflammation with joint effusion and pain made it possible to establish a diagnosis of benign joint hypermobility syndrome. The child met the Brighton criteria; her Beighton score was 7 out of 9. Patient education aimed at eliminating abnormal joint movement and an appropriate rehabilitation programme play key roles in the treatment of BJHS.
REFERENCES (17)
1.
Remvig L, Jensen DV, Ward RC. Epidemiology of General Joint Hypermobility and Basis for the Proposed Criteria for Benign Joint Hypermobility Syndrome: Review of the Literature. J Rheumatol 2007; 34: 804-809. .
2.
Clark CJ, Simmonds JV. An exploration of the prevalence of hypermobility and joint hypermobility syndrome in Omani women attending a hospital physiotherapy service. Musculoskelet Care 2011; 9: 1-10. .
3.
Malfait F, Hakim A J, De Paepe A, Grahame R. The genetic basis of the joint hypermobility syndromes. Rheumatology (Oxford) 2006; 45: 502-507. .
4.
Grahame R. Joint hypermobility and the performing musican. New Engl J Med 1993; 7: 1079-1082. .
5.
Dequeker J. Bening familiar hypermobility syndrome and Trendelenburg sign in a painting „The Tree Graces” by Peter Paul Pubens (1577–1640). Ann Rheum Dis 2011; 60: 894-895. .
6.
Kirk JA, Ansell BM, Bywaters EL. The hypermobility syndrome. Ann Rheum Dis 1967; 26: 419-425. .
7.
Grahame R, Bird HA, Child A. The British Society for Rheumatology Special Interest Group on Heritable Disorders of Connective Tissue criteria for the benign joint hypermobility syndrome: the revised (Brighton 1998) criteria for the diagnosis of BJHS. J Rheumatol 2000; 27: 1777-1779. .
8.
Bulbena A, Duro JC, Porfa M, et al. Clinical assessment of hypermobility of joints. Assembling criteria. J Rheumatol 1992; 19: 115-122. .
9.
Smits-Engelsman B, Klerks M, Kirby A. Beighton Score: A Valid measure for generalized hypermobility in children. J Pediatr 2011; 158: 119-123. .
10.
Wahezi D, IIowite N. Joint problems and hypermobility. Pediatr Rev 2009; 30: 87-199 (comments by Rutkowska-Sak L. Pediatria po Dyplomie 2010; 14: 68-69). .
11.
Hakim AJ, Cherkas LF, Grahame R, et al. The genetic epidemiology of joint hypermobility: A population study of female twins. Arthritis Rheum 2004; 50: 2640-2646. .
12.
Zimmermann-Górska I. Nadmierna ruchomość stawów a choroby reumatyczne. Reumatologia 2007; 45: 397-403. .
13.
Kirby A, Davies R. Developmental coordination disorder and joint hypermobility syndrome – overlapping disorders? Implications for research and clinical practice. Child Care, Health Dev 2006; 32: 513-519. .
14.
Murray KJ, Woo P. Benign joint hypermobility in childhood. Rheumatology 2001; 40: 489-491. .
15.
Kemp S, Roberts I, Gamble C, et al. A randomized comparative trial of generalized vs targeted physiotherapy in the management of childhood hypermobility. Rheumatology 2010; 49: 315-325. .
16.
Sahin N, Baskent A, Cakmak A, et al. Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome Rheumatol Int 2008; 28: 995-1000. .
17.
Henkel G. Strides in recognition and management of joint hypermobility syndrome. Rheumatologist 2010; 4(5). Available at: http://www.the-rheumatologist.... 865565/Function_Despite_Pain.html.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Share
RELATED ARTICLE
| eISSN: | 2084-9834 |
| ISSN: | 0034-6233 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
