Department of Orthopedics and Traumatology, Dumlupinar University Faculty of Medicine, Kutahya, Turkey.
Eur J Phys Rehabil Med. 2010 Mar;46(1):89-94.
The aim of this study was to show that simple criteria like Beighton and Brighton criteria are sufficient to determine a diagnosis of hypermobility and may be useful prior to performing excessive diagnostic studies on children with variable joint pain and limited range of motion. Additionally, this study underlines how limitations of deformed joints can be restored with physiotherapy, which can also help preventing further complications of hypermobility. This study reports the case of a five-year-old girl and her 10-year-old brother, who both were suffering from difficulty in holding a spoon. Our diagnosis was hypermobility syndrome. The patients showed significant improvement with physiotherapy of the elbows. Evaluating patients for hypermobility in routine rheumatologic examination will prevent unnecessary diagnostic studies and treatments. Moreover, although the most common initial symptom of hypermobility is pain (usually in the knees), a limited range of motion due to subluxations in any other joints, like the elbows, may be the first symptom.
本研究旨在表明，像 Beighton 和 Brighton 标准这样的简单标准足以确定关节过度活动症的诊断，并且在对有可变关节疼痛和活动范围受限的儿童进行过多的诊断性研究之前可能是有用的。此外，本研究强调了如何通过物理疗法来恢复变形关节的限制，这也有助于预防关节过度活动症的进一步并发症。本研究报告了一例五岁女孩和她十岁的哥哥的病例，他们都难以拿勺子。我们的诊断是关节过度活动症。患者在肘部接受物理治疗后有明显改善。在常规风湿病检查中评估患者的关节过度活动症将避免不必要的诊断性研究和治疗。此外，尽管关节过度活动症最常见的初始症状是疼痛（通常在膝盖），但任何其他关节（如肘部）的半脱位导致的活动范围受限也可能是第一个症状。
