创伤性复发性肩关节前不稳定患者是否存在全身性关节松弛？
Do patients with traumatic recurrent anterior shoulder instability have generalized joint laxity?
机构信息
Hospital Italiano de Buenos Aires, Shoulder Unit Orthopaedic Service, Ciudad Autónoma de Buenos Aires, Buenos Aires, Ack 1199, Argentina.
出版信息
Clin Orthop Relat Res. 2012 Apr;470(4):957-60. doi: 10.1007/s11999-011-1992-x.
BACKGROUND
A number of studies suggest a relationship between generalized joint laxity (GJL) and increased risk of some musculoskeletal injuries. However, there are conflicting data on the association between GJL and traumatic recurrent shoulder instability (RSI).
QUESTIONS/PURPOSES: We therefore asked whether the incidence of GJL in patients with RSI was greater than that in a control group.
METHODS
We preoperatively determined GJL with a Beighton score in 100 male patients arthroscopically treated for RSI. The mean age of the patients was 25 years. We identified a control group of 100 individuals, matched for age and gender, with no known history of instability of the shoulder, knees, or ankles and obtained the same score. Those patients with a Beighton score greater than six points were considered lax (representing GJL).
RESULTS
We identified no difference in the rate of GJL in the two groups: 13 of the 100 patients versus nine of the 100 control subjects.
CONCLUSION
Our data add to the literature suggesting GJL does not predispose to RSI.
LEVEL OF EVIDENCE
Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
背景
多项研究表明，全身性关节松弛症（GJL）与某些肌肉骨骼损伤的风险增加之间存在关联。然而，关于 GJL 与创伤性复发性肩关节不稳定（RSI）之间的关联，数据存在矛盾。
问题/目的：因此，我们询问 RSI 患者的 GJL 发生率是否高于对照组。
方法
我们对 100 名接受 RSI 关节镜治疗的男性患者进行了术前 Beighton 评分，以确定 GJL。患者的平均年龄为 25 岁。我们确定了 100 名年龄和性别匹配、无已知肩、膝或踝关节不稳定病史的对照组，并获得了相同的评分。Beighton 评分大于 6 分的患者被认为是松弛的（代表 GJL）。
结果
两组 GJL 的发生率无差异：100 名患者中有 13 名，100 名对照组中有 9 名。
结论
我们的数据增加了文献中 GJL 不会导致 RSI 的证据。
证据水平
II 级，预后研究。有关证据水平的完整描述，请参阅作者指南。
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