Erkula Gürkan, Kiter A Esat, Kilic B Alper, Er Ertan, Demirkan Fahir, Sponseller Paul D
Department of Orthopedics, Pamukkale University School of Medicine, Denizli, Turkey.
J Pediatr Orthop B. 2005 Jan;14(1):38-41. doi: 10.1097/01202412-200501000-00006.
A study was designed to evaluate the joint laxity during scoliosis screening, and to show if there is a relation of joint laxity values to the trunk rotation. One thousand, two hundred and seventy-three children (598 females, 675 males) with an average age of 10.4 years were screened with a scoliometer and forward bending for trunk rotations. Scapular and shoulder elevations, flexible pes planus were recorded and joint laxity was evaluated with the Beighton score. There was high inter-observer and intra-observer reliability for both scoliometer and Beighton scores. In 41 children (3.2%) with Beighton score 7 or higher, trunk rotation measurements were higher than for the rest of the children. Trunk rotation measurements of 7 degrees or higher were found in 30 children, who were more lax than the rest of the group and were invited for radiography, with a detection of curves between 11 and 18 degrees in 10 of them. The Beighton score is a practical and reliable method for defining joint laxity. Although the number of patients with scoliosis was limited, there are findings supporting the relation between joint laxity and scoliosis. Moreover, there was increased laxity in children with increased trunk rotations. Ligamentous laxity may be one of the causes changing the contour of the back.
一项研究旨在评估脊柱侧弯筛查期间的关节松弛度，并探究关节松弛度值与躯干旋转之间是否存在关联。对1273名平均年龄为10.4岁的儿童（598名女性，675名男性）进行了筛查，使用脊柱侧凸测量仪并让其向前弯腰以测量躯干旋转情况。记录了肩胛骨和肩部抬高、柔韧性扁平足情况，并使用贝ighton评分评估关节松弛度。脊柱侧凸测量仪和贝ighton评分的观察者间和观察者内可靠性都很高。在41名（3.2%）贝ighton评分为7分或更高的儿童中，躯干旋转测量值高于其他儿童。在30名儿童中发现躯干旋转测量值为7度或更高，这些儿童比其他组更松弛，被邀请进行X线摄影，其中10人检测出11至18度的侧弯。贝ighton评分是定义关节松弛度的一种实用且可靠的方法。尽管脊柱侧弯患者数量有限，但有研究结果支持关节松弛度与脊柱侧弯之间的关联。此外，躯干旋转增加的儿童关节松弛度也增加。韧带松弛可能是改变背部轮廓的原因之一。
