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Management of Articular Complications in the Hypermobility Syndrome

  • Chapter
Hypermobility of Joints

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Abstract

Hypermobile patients can be spared much unnecessary suffering by the establishment of the correct diagnosis. As indicated in Chap. 6, hypermobility is one of the great mimics in rheumatology. Many hapless individuals are misdiagnosed as suffering from rheumatoid arthritis (both adult and juvenile). Needlessly they are forced to suffer the anguish of living with that diagnosis and are exposed to the dangers of the slow-acting anti-rheumatoid drugs and other potentially hazardous treatments. Others, in the absence of observed physical signs to explain their symptoms (joint hypermobility is often overlooked), are labelled as neurotic. They either accept this and become resigned to a life of misery and disability, or reject it and go from one specialist to another in their quest for relief. Not surprisingly many seek help from practitioners of alternative medicine. It is self-evident that reassuring the patient that he or she has neither a potentially crippling disease nor, for that matter, a psychological one can have a profoundly beneficial effect on morale!

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References

  • Bauer FCH, Wredmark T, Isberg B (1984) Krogius tenoplasty for recurrent dislocation of the patella. Failure associated with joint laxity. Acta Orthop Scand 55: 267–269

    Article  PubMed  CAS  Google Scholar 

  • Beckers L (1986) Buck’s operation for the treatment of spondylolysis and spondylolisthesis. Acta Orthop Be1g 52: 819–823

    CAS  Google Scholar 

  • Beighton P, Horan F (1969) Orthopaedic aspects of Ehlers-Danlos syndrome. J. Bone Joint Surg [Br] 51: 444–453

    CAS  Google Scholar 

  • Binder A, Hodge G, Greenwood AM, Hazleman BL, Page-Thomas DP (1985) Is therapeutic ultrasound effective in treating soft tissue lesions ? Br Med J 290: 512–514

    Article  CAS  Google Scholar 

  • Biro F, Gewanter HL, Baum J (1983) The hypermobility syndrome. Pediatrics 72: 701–706

    PubMed  CAS  Google Scholar 

  • Child AH (1988) Aortic compliance and collagen biosynthesis in heritable human disorders of connective tissue. MD thesis, University of Leicester

    Google Scholar 

  • Cottingham B, Phillips PD, Davies GE, Getty CJM (1985) Effect of subcutaneous nerve stimulation (SCNS) on pain associated with osteoarthritis of the hip. Pain 22: 243–248

    Article  PubMed  CAS  Google Scholar 

  • Coughlin L, Oliver J, Beretta G (1987) Knee bracing and anterolateral rotatory instability. Am J Sports Med 15: 161–163

    Article  PubMed  CAS  Google Scholar 

  • Cowell HR, Elener V (1982) Bilateral tendonitis of the flexor hallucis longus in a ballet dancer. J Pediatr Orthop 2: 582–586

    Article  PubMed  CAS  Google Scholar 

  • Coxhead CE, Inskip, H, Mead TW, North WRS, Troup JDG (1981) Multicentre trial of physiotherapy in the management of sciatic symptoms. Lancet is 1065–1068

    Google Scholar 

  • Davies J, Gibson T, Tester L (1979) The value of exercises in the treatment of low back pain. Rheumatol Rehabil 18: 247–252

    Article  Google Scholar 

  • Delitto A, Rose SJ, McKowen TM, Lehman RC, Thomas SA, Shively RA (1988) Electrical stimulation versus static exercises in strengthening thigh musculature after anterior cruciate surgery. Physiotherapy 69: 300–302

    Google Scholar 

  • Dilke TFW, Burry HC, Grahame R (1973) Extradural corticosteroid injection in the management of lumbar nerve root compression. Br Med J II: 265–267

    Google Scholar 

  • Evans G, Jackson RK (1988) Microdiscectomy for treating lumbar disc protrusion - an important advance that merits wide adoption. Br Med J 297: 5

    Article  CAS  Google Scholar 

  • Eyring EJ, Guthrie WD (1986) A surgical approach to the problem of severe instability of the ankle. Clin Orthop 206: 185–191

    PubMed  Google Scholar 

  • Finsterbush A, Pogrund H (1982) The hypermobility syndrome. Musculoskeletal complaints in 100 consecutive cases of generalised joint hypermobility. Clin Orthop 168: 124–127

    PubMed  Google Scholar 

  • Fry HJH (1986) Overuse syndrome alias tenosynovitis, tendinitis? The terminological hoax. Plast Reconstr Surg 78: 414–417

    Article  PubMed  CAS  Google Scholar 

  • Gerber C, Terrier F, Ganz R (1988) The Trillat procedure for recurrent anterior instability of the shoulder. J Bone Joint Surg [Br] 70: 130–134

    CAS  Google Scholar 

  • Grahame, R, Kitchen S, Hunt J (1978). The diuretic, natriuretic and kaliuretic effects of water immersion. Quart J Med 45: 579–585

    Google Scholar 

  • Halperin N, Oren Y, Hendel D, Nathan N (1987) Semimembranosus tenosynovitis: operative results. Acta Orthop Trauma Surg 106: 281–284

    Article  CAS  Google Scholar 

  • Hamilton WG (1982) Sprained ankles in ballet dancers. Foot and Ankle 3: 99–102

    PubMed  CAS  Google Scholar 

  • Harris IE, Weinstein SL (1987) Long-term follow-up of patients with grade-III and IV spondylothesis. J Bone Joint Surg [Am] 69: 960–969

    CAS  Google Scholar 

  • Harvey W, Dyson M, Pond JB, Grahame R, (1975). The “in vitro” stimulation of protein synthesis in human fibroblasts by therapeutic levels of ultrasound. In: Proceedings of the 2nd European Congress on Ultrasonics in Medicine, Excerpta Medica, Amsterdam, Oxford, pp 10–21

    Google Scholar 

  • Hopp E, Tsou PM (1988) Postdecompression lumbar instability. Clin Orthop 227: 143–151

    PubMed  CAS  Google Scholar 

  • Hovelius L, Westerlind G, Breggren B (1985) Pes anserinus transfer for unstable knee. Acta Orthop Scand 56: 127–129

    Article  PubMed  CAS  Google Scholar 

  • Javors JR, Violet JT (1985) Correction of lateral instability of the ankle by use of the Brotström procedure. Clin Orthop 198: 201–207

    PubMed  Google Scholar 

  • Jobe FW, Moynes DR, Brewster CE (1987) Relief of shoulder instability. Orthop Clin North 18: 473–482

    CAS  Google Scholar 

  • Kannus P (1988) Long term results of conservative treatment of medical collateral ligament injury of the knee joint. Clin Orthop 226: 103–112

    PubMed  Google Scholar 

  • Kampner SJ (1987) Long term experience in joint prosthetic replacement for arthritis of the great toe. Bull Hosp Jt Dis Orthop Inst 47: 153–175

    PubMed  CAS  Google Scholar 

  • Kornberg M, Aulicino PL (1985) Hand and wrist joint problems in patients with Ehlers-Danlos syndrome. J Hand Surg [Am] 10: 193–196

    Article  CAS  Google Scholar 

  • Larsen E (1988) Tendon transfer for lateral ankle and subtalar joint joint instability. Acta Orthop Scand 59: 168–172

    PubMed  CAS  Google Scholar 

  • Leong JRY, Chun SY, Grange WJ, Fang D (1983) Long term results of lumbar intervertebral disc prolapse. Spine 8: 793–799

    Article  PubMed  CAS  Google Scholar 

  • Linton SJ, Gotestam KG (1984) A controlled study of the effects of applied relaxation and applied relaxation plus operant procedures in the regulation of chronic pain. Br J Clin Psych 23: 291–299

    Article  Google Scholar 

  • Maitland GD (1986) Vertebral manipulation, 5th edn. Butterworth, London

    Google Scholar 

  • Manniche C, Hesselsoe G, Bentzen L, Christensen I, Lundberg E (1988) Clinical trial of intensive muscle training for chronic low back pain. Lancet ii: 1473–1476

    Google Scholar 

  • Melzak R, Wall P (1965) Pain mechanisms, Science 150: 971–975

    Article  Google Scholar 

  • Menon J (1983) The problem of trapeziometacarpal degenerative arthritis. Clin Orthop 175: 155–165

    PubMed  Google Scholar 

  • Neer CS (1985) Involuntary inferior and multidirectional instability of the shoulder: etiology, recognition and treatment. Instr Course Lect 34: 232–238

    PubMed  Google Scholar 

  • Nicol RO, Scott JHS (1986) Lytic spondylolysis repair by wire. Spine 11: 1027–1030

    Article  PubMed  CAS  Google Scholar 

  • Petrie JP, Langley GB (1983) Acupuncture in the treatment of chronic cervical pain. A pilot study. Clin Exp Rheumatol 1: 333–336

    PubMed  CAS  Google Scholar 

  • Rhoades CE, Gelberhorn RH, Manjarris JF (1984) Stenosing tenosynovitis of finger and thumb. Clin Orthop 190: 236–238

    PubMed  Google Scholar 

  • Ridley MG, Kingsley GH, Gibson T, Grahame R (1988) Outpatient lumbar epidural cortiscosteroid injection in the management of sciatica. Br J Rheumatol 27: 295–299

    Article  PubMed  CAS  Google Scholar 

  • Steiner ME, Micheli LJ (1985) Treatment of symptomatic spondylolysis and ‘olisthesis with a modified Boston brace. Spine 10: 937–943

    Article  PubMed  CAS  Google Scholar 

  • Tsai T-M, Stilwell JH (1984) Repair of lateral subluxation of inferior radio-ulnar joint using flexor carpi ulnaris tendon. J Hand Surg [Br] 9: 289–294

    Article  CAS  Google Scholar 

  • Wejkner B, Stenport J, Wiege M (1988) Ten-year results of the Charnley hip in arthrosis. Acta Orthop Scand 59: 263–265

    Article  PubMed  CAS  Google Scholar 

  • White SH (1988) The fate of cemented total hip arthroplasty in young patients. Clin Orthop 231: 29–34

    PubMed  Google Scholar 

  • Wove SI, Watanabe T, Hirose A, Tanaka T, Matsui N, Seegusa O, Sho E (1984) Anterior discectomy and interbody fusion for lumbar disc herniation–a review of 350 cases. Clin Orthop 186: 75–80

    Google Scholar 

  • Wray Re, Young VL, Holtmann B (1984) Proximal interphalangeal joints sprains. Plast Reconstr Surg 74: 101–107

    Article  Google Scholar 

  • Zeiger HE (1987) Comparison of chemonucleolysis and microsurgical discectomy in the treatment of lumbar herniated disc. Spine 12: 796–799

    Article  PubMed  Google Scholar 

  • Zoltan DJ, Clancy WG Jr, Keene JS (1986) A new approach to snapping hip and refractory trochanteric bursitis in atheletes. Am J Sports Med 14: 201–204

    Article  PubMed  CAS  Google Scholar 

  • Zylbergold RS, Piper MC (1985) Cervical spine disorders–a comparison of three types of traction. Spine 10: 867–871

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. MRC Research Unit for Inherited Skeletal Disorders, Medical School and Groot Schuur Hospital, University of Cape Town, South Africa

    Peter Beighton MD, PhD, FRCP, DCH (Professor of Human Genetics and Director)

  2. Rheumatology Unit, Division of Medicine, United Medical and Dental Schools, Guy’s Hospital, SE1 9RT, London, UK

    Rodney Grahame MD, FRCP, FACP (Consultant Rheumatologist)

  3. Royal Bath Hospital, University of Leeds, and Clinical Pharmacology Unit (Rheumatism Research), HG1 2PS, Harrogate, UK

    Howard Bird MD, MRCP (Senior Lecturer and Consultant Rheumatologist)

Authors
  1. Peter Beighton MD, PhD, FRCP, DCH
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  2. Rodney Grahame MD, FRCP, FACP
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  3. Howard Bird MD, MRCP
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Editor information

Editors and Affiliations

  1. Rheumatology Unit, Division of Medicine, United Medical and Dental Schools, Guy’s Hospital, SE1 9RT, London, UK

    Rodney Grahame MD, FRCP, FACP (Consultant Rheumatologist) (Consultant Rheumatologist)

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© 1989 Springer-Verlag Berlin Heidelberg

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Beighton, P., Grahame, R., Bird, H. (1989). Management of Articular Complications in the Hypermobility Syndrome. In: Grahame, R. (eds) Hypermobility of Joints. Springer, London. https://doi.org/10.1007/978-1-4471-3900-3_7

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  • DOI: https://doi.org/10.1007/978-1-4471-3900-3_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3902-7

  • Online ISBN: 978-1-4471-3900-3

  • eBook Packages: Springer Book Archive

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