综合性关节高移动性:统计分析确定大多数情况下的非轴性参与
Mateus Marino Lamari1, Neuseli Marino Lamari2, Michael Peres de Medeiros2
1Department of Epidemiology and Public Health, Medical School of São José do Rio Preto (FAMERP), Av. Brigadeiro Faria Lima, 5416, Vila São Pedro, São José do Rio Preto 15090-000, SP, Brazil.
Children (Basel, Switzerland)
|March 28, 2024
概括
儿童的通用性关节高移动性 (GJH) 通常通过比顿分数 (BS) 6或更高来识别. 特定的BS分数,如7和9,是涉及轴骨架,上肢和下肢的GJH的关键指标.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 结合组织疾病 结合组织疾病
- 整形外科 整形外科 整形外科
背景情况:
- 关节高移动性 (JH) 是极端的运动范围或遗传连接组织疾病的症状.
- 在儿童和青少年中,使用6或更高的Beighton分数 (BS) 确定了通用性关节多动性 (GJH).
- 对于诊断诸如高移动性埃勒斯-丹洛斯综合征 (hEDS) 和高移动性谱系障碍 (HSDs) 等疾病,GJH评估至关重要.
研究的目的:
- 根据比顿分数 (BS) ≥6的变量分布,对患有JH的儿童进行表征.
- 为了同时识别在轴骨架,上肢 (UL) 和下肢 (LL) 中表现出JH的儿童.
主要方法:
- 分析了124份1至9岁儿童的医疗记录,这些儿童通过BS.通过BS.被诊断出JH.
- 基于正比比顿分数变量的特定位置的GJH的分类.
主要成果:
- 在25.7%的病例中,同时观察到涉及轴骨架,UL和LL的GJH.
- 6和8的BS分数主要涉及UL和LL中的变量.
- 7的BS得分表明轴骨架,UL和LL的参与.
- 大多数样本 (BS ≥6) 主要由女孩组成.
结论:
- 在儿童中,比顿分数 (BS) ≥6主要包括女孩.
- 6和8的BS分数,只有UL和LL的变量,并不一定表明普遍的关节高移动性 (GJH).
- 在儿科患者群体中,7和9的BS分数表明GJH,包括轴骨架,UL和LL.
- 这些发现对儿童hEDS和HSD的诊断标准有重大影响.
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