Bin Abd Razak Hamid Rahmatullah, Bin Ali Noreffendy, Howe Tet Sen
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore 169608, Singapore.
Singapore Armed Forces Medical Corps, Singapore 778910, Singapore.
J Sci Med Sport. 2014 Sep;17(5):474-8. doi: 10.1016/j.jsams.2013.11.001. Epub 2013 Nov 16.
The aim of this study is to determine if generalized ligamentous laxity may be a predisposing factor for musculoskeletal injuries in young males. We hypothesized that generalized ligamentous laxity would be more common in individuals with musculoskeletal injuries compared with controls.
Prospective Age- and Gender-matched Case-Control Study examined generalized ligamentous laxity in 100 consecutive individuals aged 18-25 who reported with musculoskeletal injuries to a primary healthcare center in the military. The Beighton score was used to measure joint laxity, which was determined to be present by overall scores equal to or exceeding 4. The control group comprised 100 age- and gender-matched individuals without any musculoskeletal injuries or complaints. The prevalence of generalized ligamentous laxity was then compared between cases and controls. Subgroup analyses were also performed to evaluate the epidemiology of injury within the cases.
This prospective case-control study examined generalized ligamentous laxity in 100 consecutive individuals aged 18-25 who reported with musculoskeletal injuries to a primary healthcare center in the military. The Beighton score was used to measure joint laxity, which was determined to be present by overall scores equal to or exceeding 4. The control group comprised 100 age- and gender-matched individuals without any musculoskeletal injuries or complaints. The prevalence of generalized ligamentous laxity was then compared between cases and controls.
Generalized ligamentous laxity was present in 12% of the cases compared with 4% of controls Clearer to be presented as (P-value: 0.043). Individuals who presented with musculoskeletal injuries were 3.35 times more likely to have generalized ligamentous laxity as compared to controls. Lower limb injuries were more common than upper limb injuries amongst the cases.
Generalized ligamentous laxity was more common in individuals who presented with a musculoskeletal injury. Hence, it may be a predisposing factor for musculoskeletal injuries.
本研究旨在确定广泛性韧带松弛是否可能是年轻男性肌肉骨骼损伤的一个诱发因素。我们假设,与对照组相比,广泛性韧带松弛在肌肉骨骼损伤患者中更为常见。
前瞻性年龄和性别匹配的病例对照研究,对100名连续的18 - 25岁向军队初级医疗中心报告有肌肉骨骼损伤的个体进行广泛性韧带松弛检查。采用贝顿评分来测量关节松弛度,总分等于或超过4分则判定存在关节松弛。对照组由100名年龄和性别匹配、无任何肌肉骨骼损伤或不适主诉的个体组成。然后比较病例组和对照组中广泛性韧带松弛的患病率。还进行了亚组分析以评估病例组内损伤的流行病学情况。
这项前瞻性病例对照研究对100名连续的18 - 25岁向军队初级医疗中心报告有肌肉骨骼损伤的个体进行广泛性韧带松弛检查。采用贝顿评分来测量关节松弛度,总分等于或超过4分则判定存在关节松弛。对照组由100名年龄和性别匹配、无任何肌肉骨骼损伤或不适主诉的个体组成。然后比较病例组和对照组中广泛性韧带松弛的患病率。
病例组中12%存在广泛性韧带松弛,而对照组为4%(P值:0.043)。与对照组相比,出现肌肉骨骼损伤的个体发生广泛性韧带松弛的可能性高3.35倍。病例组中下肢损伤比上肢损伤更常见。
广泛性韧带松弛在出现肌肉骨骼损伤的个体中更为常见。因此,它可能是肌肉骨骼损伤的一个诱发因素。