Document Detail

The association of soft-tissue rheumatism and hypermobility.
MedLine Citation:
PMID:  9619887     Owner:  NLM     Status:  MEDLINE    
Soft-tissue rheumatism (STR--tendinitis, bursitis, fasciitis and fibromyalgia) accounts for up to 25% of referrals to rheumatologists. The estimated prevalence of generalized hypermobility in the adult population is 5-15%. There have previously been suggestions that hypermobile individuals may be predisposed to soft-tissue trauma and subsequent musculoskeletal pain. This study was designed to examine the mobility status and physical activity level in consecutive rheumatology clinic attendees with a primary diagnosis of STR. Of 82 patients up to age 70 yr with STR, 29 (35%) met criteria for generalized hypermobility. Hypermobile compared to non-hypermobile individuals reported significantly more previous episodes of STR (90% vs 51%, P < 0.01), and more recurrent episodes of STR at a single site (69% vs 38%, P < 0.001). Although we were unable to show any difference in the time spent carrying out physical activity between the two groups, the hypermobile patients were performing significantly more repetitive activities. When specific anatomical sites of STR were analysed, small joints (elbows, hands and feet) currently affected with STR were more likely to show localized hypermobility than if those joints were asymptomatic. These findings suggest that hypermobility may be a factor in the development of STR. Repetitive activity may be a contributing factor towards STR in some hypermobile individuals.
N Hudson; M A Fitzcharles; M Cohen; M R Starr; J M Esdaile
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of rheumatology     Volume:  37     ISSN:  0263-7103     ISO Abbreviation:  Br. J. Rheumatol.     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-18     Completed Date:  1998-06-18     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8302415     Medline TA:  Br J Rheumatol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  382-6     Citation Subset:  AIM; IM    
Rheumatic Disease Unit, McGill University, Montreal, Quebec, Canada.
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MeSH Terms
Bursitis / epidemiology
Connective Tissue Diseases / diagnosis,  epidemiology*
Fasciitis / epidemiology
Fibromyalgia / epidemiology
Joint Instability / diagnosis,  epidemiology*
Ligaments / physiopathology
Middle Aged
Rheumatic Diseases / epidemiology*
Risk Factors
Tendinopathy / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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