Association of Generalized Joint Hypermobility With a History of Glenohumeral Joint Instability

作者:Cameron Kenneth L*; Duffey Michele L; DeBerardino Thomas M; Stoneman Paul D; Jones Christopher J; Owens Brett D
来源:Journal of Athletic Training, 2010, 45(3): 253-258.
DOI:10.4085/1062-6050-45.3.253

摘要

Context: Little is known about the relationship among sex, generalized joint hypermobility, and glenohumeral joint instability.
Objective: To examine the relationship among sex, generalized joint hypermobility scores, and a history of glenohumeral joint instability within a young, physically active cohort and to describe the incidence of generalized joint hypermobility within this population.
Design: Cross-sectional cohort study.
Setting: United States Military Academy at West Point, New York.
Patients or Other Participants: Of the 1311 members of the entering freshman class of 2010, 1050 (80%) agreed to participate.
Main Outcome Measure(s): Generalized joint hypermobility was assessed using the Beighton Scale. A history of glenohumeral joint instability was identified via a baseline questionnaire.
Results: Most participants (78%) had no signs of generalized joint hypermobility. Only 11 volunteers (1.5%) had Beighton Scale scores of 4 or greater. Logistic regression analysis revealed a relationship between generalized joint hypermobility and a history of glenohumeral joint instability (P = .023). When sex and race were controlled, those with a total Beighton Scale score of >= 2 were nearly 2.5 times as likely (odds ratio = 2.48, 95% confidence interval = 1.19, 5.20, P = .016) to have reported a history of glenohumeral joint instability. A relationship was observed between sex and nearly all individual Beighton Scale items. Although women had higher total Beighton Scale scores than men, sex (P = .658) and race (P = .410) were not related to a history of glenohumeral joint instability when other variables in the model were controlled.
Conclusions: In these participants, generalized joint hypermobility and a history of glenohumeral joint instability were associated.

  • 出版日期2010-6