Vaishya Raju, Hasija Rohit
Department of Orthopaedics, Indraprastha Apollo Hospital, New Delhi, India.
J Orthop Surg (Hong Kong). 2013 Aug;21(2):182-4. doi: 10.1177/230949901302100213.
PURPOSE. To compare the rates of joint hypermobility in patients with and without anterior cruciate ligament (ACL) injury. METHODS. Records of 135 men and 75 women (mean age, 24.6 years) who underwent ACL reconstructions were reviewed and compared with 55 male and 35 female controls with no knee injury. Joint hypermobility was evaluated by 2 examiners using the Beighton score. The maximum score was 9, and a score of 4 or greater was defined as hypermobility. RESULTS. The mean time from injury to presentation was 18 days. A non-contact mechanism of injury was more common. The inter-observer reliability was 0.7. 127 (60.5%) of the patients with ACL injury and 23 (25.5%) of the controls had hypermobility (p<0.01). Among them, 58% and 24% were men and 65% and 29% were women, respectively. Female gender was associated with hypermobility. Patients with ACL injury were more likely to have joint hypermobility with an odds ratio of 4.46. CONCLUSION. Joint hypermobility was more common in patients with ACL injury.
目的。比较前交叉韧带（ACL）损伤患者与未损伤患者的关节活动过度发生率。方法。回顾了135名男性和75名女性（平均年龄24.6岁）接受ACL重建手术的记录，并与55名男性和35名未患膝关节损伤的女性对照者进行比较。由两名检查者使用贝ighton评分评估关节活动过度情况。最高分为9分，4分及以上被定义为活动过度。结果。从受伤到就诊的平均时间为18天。非接触性损伤机制更为常见。观察者间的可靠性为0.7。127例（60.5%）ACL损伤患者和23例（25.5%）对照者存在关节活动过度（p<0.01）。其中，男性分别为58%和24%，女性分别为65%和29%。女性与关节活动过度相关。ACL损伤患者更易出现关节活动过度，比值比为4.46。结论。关节活动过度在ACL损伤患者中更为常见。
