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Related Experiment Videos

Joint hypermobility in pediatric practice--a review

A Gedalia1, E J Brewer

  • 1Department of Pediatrics, Louisiana State University, School of Medicine, New Orleans.

The Journal of Rheumatology
|February 1, 1993
PubMed
Summary
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Joint hypermobility in children, an extreme variation of normal joint mobility, can lead to joint pain. This condition, distinct from connective tissue diseases, affects children differently based on race and sex.

Area of Science:

  • Pediatrics
  • Rheumatology
  • Orthopedics

Background:

  • Joint hypermobility is a common condition in children, characterized by excessive joint mobility without underlying connective tissue disease.
  • Its prevalence varies, with evidence suggesting differences across racial and sex groups.
  • Hypermobility tends to decrease with age, diminishing significantly in childhood and more slowly in adulthood.

Purpose of the Study:

  • To discuss the clinical features, prognosis, and relevance of joint hypermobility in pediatric practice.
  • To highlight the potential predisposition of joint hypermobility to joint pain development in children.
  • To review the established criteria for diagnosing joint hypermobility.

Main Methods:

  • Utilized the Carter and Bird criteria for assessing joint hypermobility.

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  • Defined joint hypermobility as the ability to perform 3 or more of the 5 devised maneuvers.
  • Reviewed existing literature on the prevalence, clinical features, and mechanisms of joint pain in hypermobile children.

    • Main Results:

    • Joint hypermobility is a well-established risk factor for joint pain in children.
    • The exact mechanism linking hypermobility to pain involves excessive motion leading to soft tissue injury.
    • Prevalence data indicates variations influenced by race and sex, with a general decline throughout life.

    Conclusions:

    • Joint hypermobility is a significant factor in pediatric joint pain, necessitating clinical attention.
    • Understanding the clinical features and prognosis is crucial for effective pediatric practice.
    • Further research into the precise mechanisms of pain development is warranted.