埃及儿童的关节过度活动：患病率及特征

Hypermobility among Egyptian children: prevalence and features.

作者信息

El-Garf A K, Mahmoud G A, Mahgoub E H

机构信息

Department of Rheumatology and Rehabilitation, Faculty of Medicine, Cairo University, Egypt.

出版信息

J Rheumatol. 1998 May;25(5):1003-5.

PMID:9598908

Abstract

OBJECTIVE

To determine the prevalence, clinical manifestations, and possible associated features of hypermobility among Egyptian children in a prospective study.

METHODS

Nine hundred ninety-seven healthy children from 4 different educational areas for primary and presecondary schools were screened for the presence of hypermobility. A hypermobility score was used to denote the degree of laxity. Sites and possible clinical associations of hypermobility were determined.

RESULTS

The presence of hypermobility was 16. 1% among Egyptian children. Hypermobility was more frequent among girls (18%). than boys (14.4%), although the difference was not statistically significant. Age was inversely correlated with the frequency of hypermobility (r = 4).967, p < 0.001) and degree of joint laxity (r = -0.789, p < 0.01). Hypermobility was most prevalent in fingers (96.9%) and least prevalent in knee joints (3.1%). Hypermobility was statistically more frequent in nondominant than dominant fingers (p < 0.002). Arthralgia, high palate, flat feet, Raynaud's phenomenon, and easy bruising were more common among the hypermobility group.

CONCLUSION

Our results suggest that hypermobility is not uncommon among Egyptian children. Increased awareness of the condition is needed among pediatricians and other concerned physicians.

摘要

目的

在一项前瞻性研究中确定埃及儿童关节活动过度的患病率、临床表现及可能的相关特征。

方法

对来自4个不同中小学教育区域的997名健康儿童进行关节活动过度筛查。采用关节活动过度评分来表示松弛程度。确定关节活动过度的部位及可能的临床关联。

结果

埃及儿童关节活动过度的患病率为16.1%。女孩（18%）比男孩（14.4%）更易出现关节活动过度，尽管差异无统计学意义。年龄与关节活动过度的频率（r = -0.967，p < 0.001）及关节松弛程度（r = -0.789，p < 0.01）呈负相关。关节活动过度在手指最为常见（96.9%），在膝关节最少见（3.1%）。非优势手指的关节活动过度在统计学上比优势手指更常见（p < 0.002）。关节痛、高腭弓、扁平足、雷诺现象和易出现瘀伤在关节活动过度组更为常见。