Presentation of two cases with hypermobility syndrome and review of the related literature

Toxer S., Soyucen E., Gulcan E., Kabay S., Ozbek O., Ozveren O., ...Daha Fazla

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE, cilt.46, sa.1, ss.89-94, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 46 Sayı: 1
  • Basım Tarihi: 2010
  • Dergi Adı: EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.89-94
  • Anahtar Kelimeler: Ehlers-Danlos syndrome, Physical therapy modalities, Joint diseases, GENERALIZED JOINT HYPERMOBILITY, CHILDREN, PAIN, CRITERIA
  • Akdeniz Üniversitesi Adresli: Hayır

Özet

The aim of this study was to show that simple criteria like Beighton and Brighton criteria are sufficient to determine a diagnosis of hypermobility and may be useful prior to performing excessive diagnostic studies on children with variable joint pain and limited range of motion. Additionally, this study underlines how limitations of deformed joints can be restored with physiotherapy, which can also help preventing further complications of hypermobility. This study reports the case of a five-year-old girl and her 10-year-old brother, who both were suffering from difficulty in holding a spoon. Our diagnosis was hypermobility syndrome. The patients showed significant improvement with physiotherapy of the elbows. Evaluating patients for hyper-mobility in routine rheumatologic examination will prevent unnecessary diagnostic studies and treatments. Moreover, although the most common initial symptom of hypermobility is pain (usually in the knees), a limited range of motion due to subluxations in any other joints, like the elbows, may be the first symptom.