By Rosemary Keer, MSc MCSP MACP SRP, and Rodney Grahame, CBE MD FRCP FACP (Eds.)
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Extra info for Hypermobility Syndrome. Recognition and Management for Physiotherapists
1994, Cheng et a1. 1991, El-Garf et a1. 1998, El-Shahaly and El-Sherif 1991, Hudson et a1. 1998, Kirk et a1. 1967, Russek 1999), and that far fewer adults are hypermobile compared to the number of hypermobile children. Clinical presentation Many children have hypermobile joints, but only a percentage of those will suffer from symptoms, and if they follow a chronic pattern these children are often diagnosed as having JHS (Grahame 1999). 3). 2). These children typically lack the positive laboratory findings found in other rheumatological conditions and rarely develop any radiological abnormalities.
Shoulder joint (Finsterbush and Pogrund 1982) • Patella (Biro et al. 1983, Finsterbush and Pogrund 1982, Runow 1983, Stanitski 1995) • Metacarpophalangeal (MCP) joint Traumatic arthritis/synovitis Bruising (Bird et al. 1978, Bulbena et al. 1993) Fractures (Grahame et al. 1981) Chronic or non-traumatic Soft-tissue rheumatism (EI-Shahaly and EI-Sherif 1991, Gedalia et al. 1985, Goldman 1991, Grahame et al. 1981, Hudson et al. 1995, Kirk et al. 1967) • Tendonitis • Synovitis • Juvenile episodic arthritis/synovitis • Bursitis Anterior knee pain Back pain - lumbar or thoracic (AI-Rawi and Nessan 1997, EI-Shahaly and EI-Sherif 1991, Grahame 1999, Howell 1984, Larsson et al.
1991). However, the motor delay is usually self-limiting if hypermobility is the only cause. This problem will either improve spontaneously or with a motor development rehabilitation programme. 2 Neuromuscular and musculoskeletal complications or features seen in children with JHS Acute or traumatic Sprains (Grahame et al. 1981) Strains - recurrent ankle strains (Finsterbush and Pogrund 1982) - knee, meniscus tears (Bulbena et al. e. • Shoulder joint (Finsterbush and Pogrund 1982) • Patella (Biro et al.
Hypermobility Syndrome. Recognition and Management for Physiotherapists by Rosemary Keer, MSc MCSP MACP SRP, and Rodney Grahame, CBE MD FRCP FACP (Eds.)