Generalize Eklem Hipermobilitesi ve Omzun Adeziv Kapsüliti Arasındaki İlişki

Objective & Hypothesis:Objectives: This study aims to investigate the possible relationship between generalized joint hypermobility (GJH) and adhesive capsulitis (AC) of the shoulder.

📊

Key Findings & Data:Patients and methods: A total of 240 patients were enrolled in this study, including 120 patients diagnosed with AC in a study group and 120 patients diagnosed with primary subacromial impingement syndrome in the control group.

💡

Conclusion & Impact:Conclusion: Our study results suggest that GJH may be a protective or preventive factor in the development of AC.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to investigate the possible relationship between generalized joint hypermobility (GJH) and adhesive capsulitis (AC) of the shoulder. Patients and methods: A total of 240 patients were enrolled in this study, including 120 patients diagnosed with AC in a study group and 120 patients diagnosed with primary subacromial impingement syndrome in the control group. We evaluated the pain severity, range of motion of the shoulder joint, functional status, disability, and hypermobility in both groups. The Beighton score was used to evaluate the GJH while the revised Brighton criteria were utilized for the patients with benign joint hypermobility syndrome (BJHS). Results: In the adhesive capsulitis group, GJH was significantly rare (p<0.05) with only one patient (0.08%) whereas BJHS was not found. In the control group, nine patients (7.5%) had GJH, and five (4.2%) had BJHS. Conclusion: Our study results suggest that GJH may be a protective or preventive factor in the development of AC. In clinical practice, we believe that in GJH patients we can be more optimistic regarding the concern of the conversion of shoulder pain to AC. If this has already taken place, then these patients may respond more positively to treatment in cases involving GJH.

Özet

Amaç: Bu çalışmada generalize eklem hipermobilitesi (GEH) ve omzun adeziv kapsüliti (AK) arasındaki muhtemel ilişki araştırıldı.Hastalar ve yöntemler: Çalışma grubunda 120'si AK tanılı ve kontrol grubunda 120'si primer subakromiyal sıkışma sendromu tanılı olmak üzere, toplam 240 hasta çalışmaya dahil edildi. Her iki grupta da ağrı şiddeti, omuz eklem hareket açıklığı, fonksiyonel değerlendirme, engellilik ve hipermobilite değerlendirildi. Generalize eklem hipermobilitesi Beighton skoru, benign eklem hipermobilite sendromu (BEHS) ise revize Brighton kriterleri ile değerlendirildi.Bulgular: Adeziv kapsülit grubunda, GEH sadece bir hastada (%0.08) olmak üzere oldukça nadir (p<0.05) saptanırken, BEHS'ye rastlanmadı. Kontrol grubunda ise dokuz hastada (%7.5) GEH, beş hastada (%4.2) BEHS gözlendi.Sonuç: Çalışma bulgularımız, GEH'in AK gelişimi için koruyucu veya önleyici bir faktör olabileceğini göstermektedir. Klinik pratikte, GEH olan hastalarda gelişen omuz ağrılarında, tablonun AK'ye dönüşümü açısından daha iyimser olunabileceğine inanıyoruz. Generalize eklem hipermobilitesi bulunan hastalarda AK gelişimi söz konusu ise, bu hastalar tedaviye daha iyi yanıt verebilir.

🔖

Cite This Article

TERZİ, Y., AKGÜN, K., AKTAŞ, İ., KADIOĞLU, D. P., CAN, G. (2013). Generalize Eklem Hipermobilitesi ve Omzun Adeziv Kapsüliti Arasındaki İlişki. Turkish Journal of Rheumatology(.)Archives of Rheumatology, Cilt: 28 - Sayı: 4, 234–241. https://ajindex.com/articles/376070

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (15)

Neviaser RJ, Neviaser TJ. The frozen shoulder. Diagnosis and management. Clin Orthop Relat Res 1987;223:59-64.
Hakim A, Grahame R. Joint hypermobility. Best Pract Res Clin Rheumatol 2003;17:989-1004.
Simmonds JV, Keer RJ. Hypermobility and the hypermobility syndrome. Man Ther 2007;12:298-309.
Beighton P, Grahame R, Bird H. Hypermobility of joints. New York: Springer- Verlag; 1983. Scanderbeg AC. Joint contracture, joint stiffness. Histo Anatomy Physiol Bone 1995;8:473-500.
Zuckerman JD, Cuomo F, Rokito S. Definition and classification of frozen shoulder. J Shoulder Elbow Surg 1994;3:S5. Juul-Kristensen B, Rİgind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology (Oxford) 2007;46:1835-41. Neer CS 2nd. Impingement lesions. Clin Orthop Relat Res 1983;173:70-7.
Caliş M, Akgün K, Birtane M, Karacan I, Caliş H, Tüzün F. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 2000;59:44-7.
Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45-56.
Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. Philadelphia: F.A. Davis Company; 1995.
Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987;160-4.
Ozsahin M, Akgun K, Aktas I, Kurtais Y. Adaptation of the Shoulder Disability Questionnaire to the Turkish population, its reliability and validity. Int J Rehabil Res 2008;31:241-5. van der Heijden GJ, Leffers P, Bouter LM. Shoulder disability questionnaire design and responsiveness of a functional status measure. J Clin Epidemiol 2000;53:29-38.
Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis 1973;32:413-8.
Grahame R, Bird HA, Child A. The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). J Rheumatol 2000;27:1777-9.
Sheridan MA, Hannafin JA. Upper extremity: emphasis on frozen shoulder. Orthop Clin North Am 2006;37:531-9. Simpson MR. Benign joint hypermobility syndrome: evaluation, diagnosis, and management. J Am Osteopath Assoc 2006;106:531-6.
Al-Rawi ZS, Al-Aszawi AJ, Al-Chalabi T. Joint mobility among university students in Iraq. Br J Rheumatol 1985;24:326-31.
Larsson LG, Baum J, Mudholkar GS, Srivastava DK. Hypermobility: prevalence and