PDF(Pubmed)
Abstract：
Introduction Generalized ligamentous laxity (GLL) is defined as an increased range of motion across multiple joints in an individual beyond the mean range of motion in the general population, with a reported prevalence between 5% and 15%. It becomes less common with age and is more common in females and in the lower limbs. Musculoskeletal injury (MSI) is damage to musculoskeletal systems, usually due to strenuous activity. There is conflicting literature regarding whether the risk of MSI during strenuous activity is higher in individuals with GLL and a dearth of evidence from the Indian subcontinent regarding GLL. This study determines if GLL predisposes to musculoskeletal injuries among patients. Materials and methods One hundred eighty patients each were selected as cases and controls after obtaining informed consent, a Beighton score assessment, and a questionnaire regarding injury-filled in all participants with GLL. Result Thirty-three participants (18.33%) in the case group and 16 participants (8.89%) in the control group were found to have GLL. An odds ratio of 2.30 (using a 2x2 RC table) was calculated between participants with GLL among the cases and controls with a Beighton score of 4/9, and a significantly higher mean Beighton score (p=0.018) was found among participants presenting with MSI (cases) than participants without MSI (controls). Discussion The study found that there was a significant prevalence of GLL in the adult population, especially in females compared to males. The younger age group was also comparatively much more involved. It also proved that GLL was more common in patients with MSI and that hyper-mobile people had a twofold chance of injury compared to the general population. The joints of the lower limb were more frequently involved, probably the weight-bearing joints, the most common being the ankle and knee. People with GLL also had higher chances of repeating injuries. Conclusion This study has implications for the prevention of injuries in people with GLL. Screening such individuals to identify those with GLL using the Beighton score could be beneficial. Though orthopedic surgeons primarily manage people with MSI, they rarely identify individuals with GLL, and making a diagnosis regarding the same definitely helps these individuals live pain-free lives.
摘要：
简介广义韧带松弛（GLL）被定义为个体多个关节的运动范围增加，超出了普通人群的平均运动范围。报告的患病率在5%至15%之间。随着年龄的增长，它变得不那么常见，在女性和下肢更为常见。肌肉骨骼损伤（MSI）是对肌肉骨骼系统的损害，通常是由于剧烈的活动。关于GLL个体在剧烈活动期间MSI的风险是否更高，以及印度次大陆缺乏有关GLL的证据，文献相互矛盾。这项研究确定了GLL是否易患患者的肌肉骨骼损伤。材料与方法在获得知情同意书后，各选择180例患者作为病例和对照，贝顿分数评估，以及一份关于伤害的问卷，填写了所有GLL参与者。结果病例组33例(18.33%)和对照组16例(8.89%)均有GLL。在病例中有GLL的参与者与Beighton评分为4/9的对照组之间计算出的比值比为2.30（使用2x2RC表），并且在出现有MSI（病例）的参与者中发现了显着更高的平均Beighton评分（p=0.018）。讨论该研究发现，成年人群中GLL的患病率很高，尤其是女性与男性相比。相对较年轻的年龄组也参与得更多。这也证明了GLL在MSI患者中更为常见，并且与普通人群相比，流动性过强的人受伤的机会是两倍。下肢关节受累频率更高，可能是承重关节，最常见的是脚踝和膝盖。患有GLL的人重复受伤的机会也更高。结论本研究对预防GLL患者的损伤具有重要意义。使用Beighton评分筛选此类个体以鉴定具有GLL的个体可能是有益的。虽然骨科医生主要管理MSI患者，他们很少识别患有GLL的个体，做出同样的诊断肯定有助于这些人过上无痛的生活。
