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Hyperlaxity in Hand Surgery: A Cross-sectional Survey.

Nirbhay S Jain1, Jeremiah M Taylor1, Jose M Chevalier1

  • 1University of California, Los Angeles, USA.

Hand (New York, N.Y.)
|June 8, 2025
PubMed
Summary
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Joint hypermobility is common in hand clinics, often underdiagnosed. Patients present with wrist issues and a history of injuries, highlighting the need for early screening and care.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Hand Surgery

Background:

  • Joint hypermobility syndrome involves widespread joint issues and injuries.
  • Limited research exists on hypermobile patients within hand clinics.
  • This study characterizes hyperlaxity patients in a hand clinic setting.

Purpose of the Study:

  • To characterize patients with joint hypermobility presenting to a hand clinic.
  • To inform the evaluation and management of hyperlaxity in this population.
  • To assess the prevalence and diagnostic patterns of joint hypermobility in hand surgery patients.

Main Methods:

  • Retrospective review of 210 patients diagnosed with joint hypermobility over 10 years.
  • Collected demographic data, orthopedic history, symptoms, and diagnoses.
Keywords:
anatomyarthritisarthroplastydiagnosishandosteoarthritispainpost traumatic

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  • Recorded Beighton scores to assess hypermobility severity.

    • Main Results:

    • Hypermobility patients constituted 6% of new clinic patients, double the expected rate.
    • 46% received their first orthopedic evaluation at the hand clinic.
    • Patients were younger (average 37.1 years), often lacked trauma history, and frequently had bilateral, recurrent wrist pathologies.

    Conclusions:

    • Joint hypermobility is prevalent and likely underdiagnosed in hand clinics.
    • Hypermobility patients present with multiple issues, primarily wrist pathology, and a history of injuries.
    • Early screening and multidisciplinary care are crucial, as many receive their initial specialist evaluation at the hand clinic.