The relationship between joint hypermobility and subacromial impingement syndrome and adhesive capsulitis of the shoulder

Abstract

OBJECTIVE: Joint hypermobility (JH) is a clinical condition in which the joints move beyond the expected physiological rangeof motion. JH can be accompanied by many musculoskeletal complaints. One of the common causes of musculoskeletalpain is shoulder pain. The aim of this study was to investigate the relationship between subacromial impingement syndrome(SAIS), shoulder adhesive capsulitis (AC), and JH in patients with shoulder pain.METHODS: Patients aged between 18 and 70 years who presented at the physical medicine and rehabilitation outpatientclinic and who were diagnosed with SAIS or AC in a clinical and physical examination were included in the study. Patients inthe same age group without musculoskeletal system pain were included in a control group. All of the cases were assessed forhypermobility using the Beighton score for generalized joint hypermobility (GJH), and the revised 1998 Brighton criteria forbenign joint hypermobility syndrome (BJHS).RESULTS: Of the 124 cases included in the study, 71 (57.3%) were female and 53 (42.7%) were male. There was no case ofGJH in the AC group. There were 2 (4.50%) cases in the SAIS group and 3 (7.5%) in the control group. BJHS was found in 4(10%) cases in the AC group, 6 (13.63%) in the SAIS group, and 2 (5%) cases in the control group. There was no statisticallysignificant difference between groups in terms of JH (p>0.05). The Beighton scores of the AC group were statistically lowerthose of the control group (p