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Ehlers-Danlos syndrome in athletes
Erik L Schroeder1, Mark E Lavallee
1Memorial Sports Medicine Institute, 111 West Jefferson Boulevard, Suite 100, South Bend, IN 46601, USA.
Current Sports Medicine Reports
|October 28, 2006
Summary
Ehlers-Danlos syndrome (EDS) is a connective tissue disorder common in hypermobile athletes, causing joint instability and tissue fragility. Early diagnosis through history and physical exams is crucial for managing EDS and enabling athletes to remain active.
Area of Science:
- Orthopedics
- Genetics
- Rheumatology
Background:
- Ehlers-Danlos syndrome (EDS) encompasses inheritable connective tissue disorders impacting collagen, leading to joint hypermobility, skin extensibility, and tissue fragility.
- Common manifestations in athletes include joint pain, instability, dislocations, and tissue fragility.
- Associated signs encompass specific scarring, pes planus, mitral valve prolapse, thin skin, and potential organ involvement, with vascular EDS posing risks of rupture and sudden death.
Purpose of the Study:
- To highlight the importance of considering Ehlers-Danlos syndrome in the assessment of hypermobile athletes.
- To outline the diagnostic considerations and management strategies for athletes with EDS.
Main Methods:
- Review of clinical findings and diagnostic approaches for Ehlers-Danlos syndrome in athletic populations.
- Discussion of the revised 1997 classification system for EDS.
- Emphasis on the role of clinical history and physical examination in diagnosis.
Main Results:
- The 1997 revised nosology simplified EDS classification into six types.
- Genetic testing is available, but clinical evaluation remains paramount for diagnosis in athletes.
- Preparticipation screening and multidisciplinary management are recommended.
Conclusions:
- Ehlers-Danlos syndrome requires consideration in hypermobile athletes presenting with joint instability or tissue fragility.
- A thorough clinical assessment is key for diagnosis, complemented by updated classification systems.
- Appropriate screening and management facilitate continued athletic participation for individuals with EDS.
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