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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

Summary

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.

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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:

anatomy arthritis arthroplasty diagnosis hand osteoarthritis pain post 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.