What is the Current Classification for Ehlers-Danlos Syndrome?

Discussion As with any potential problem there is a often a range from normal to abnormal and this is true for joint hypermobility. Generalized joint hypermobility is hypermobility in multiple joints with few or no other symptoms. Generalized hypermobility spectrum disorder (also known as joint hypermobility syndrome) has hypermobility along with other symptoms such as pain, reduced muscle strength, and decreased proprioception and balance. Other clinical entities with hypermobility include Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta. In the office, a 5-point questionnaire with 2 or more “yes” answers has high sensitivity (80-85%) and specificity (89-90%) for joint hypermobility. It includes: “1. Can you now (or could you ever) place your hands flat on the floor without bending your knees? 2. Can you now (or could you ever) bend your thumb to touch your forearm? 3. As a child, did you amuse your friends by contorting your body into strange shapes or could you do the splits? 4. As a child or teenager, did your shoulder or kneecap dislocate on more than one occasion? 5. Do you consider yourself “double-jointed”?”” The most commonly recognized scoring system for joint hypermobility on physical examination is the Beighton score which can be reviewed here. Children have more joint mobility therefore they have a higher cutoff score than adults (Beighton score = 5-6 versus adults with score of 4-5). Learning Point Al...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news