The frequency of joint hypermobility ın healthy school children Original Article

Yıl 2005, Cilt: 40 Sayı: 2, 83 - 86, 01.06.2005

Yeliz Yıldırım Serpil Yılmaz Egemen Ayhan Sezin Saygı Fatih Yanaral Umut Adil Zubarioğlu Özgür Kasapçopur Nil Arısoy

Öz

Joint hypermobility JHM is a clinical state that can arise alone or with different syndromes in childhood JHM can arise with musculoskeletal findings especially arthralgia in majority The objective of this study is to determine the frequency of JHM and its relationship to musculoskeletal complaints in healthy school children This study was conducted in a primary school near the Cerrahpasa Medical Faculty in Autumn 2003 Eight hundred fifty seven children 428 females 429 males attending the school were studied Their mean age was 10 57±2 4 years range 6 16 years The children with a reported illness were excluded Joint hypermobility was diagnosed according to Beighton criteria in children The children who got avahie over 6 points according to Beighton criteria were accepted as hypermobile The presence of musculoskeletal complaints was determined by a questionnaire sent to the families of the children One hundred eighteen 13 8 of 857 children studied had hypermobility The mean hypermobility score obtained from all participants was 2 5 85 19 9 of girls and 33 7 7 of boys were hypermobile Hypermobility incidence was higher in girls component to boys The difference was statistically significant p lt;0 001 Age was inversely correlated with joint hypermobility r = 0 21 p lt;0 001 The questionnaire aiming to determine the presence of musculoskeletal complaints was answered by 564 63 7 families 85 15 5 of children who answered the questionnaire had musculoskeletal complaints 31 36 4 of these children were hypermobile The presence rate of musculoskeletal complaints was significantly high among hypermobile children P lt;0 001 In conclusion similar to that found in children from many countries joint hypermobility is not an uncommon clinical state in Turkish children Thus pediatricians must consider joint hypermobility in the differential diagnosis of children with musculoskeletal complaints Key words: joint hypermobility musculoskeletal complaints

Anahtar Kelimeler

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Sağlıklı okul çocuklarında eklem hipermobilitesi sıklığı Orijinal Araştırma

Öz

Eklem hipermobilitesi EHM çocukluk çağında tek başına ya da çeşitli sendromlarla birlikte ortaya çıkabilen bir klinik durumdur Eklem hipermobilitesi çoğunlukla kas iskelet sistemi bulguları ile özellikle de eklem ağrısı ile birlikte ortaya çıkabilir Bu çalışma ile amaçlanan sağlıklı okul çocuklarındaki EHM sıklığının belirlenmesi ve EHM’nin kas iskelet sistemi bulguları ile olan ilişkisinin ortaya konulmasıdır Çalışma 2003 sonbaharında Cerrahpaşa Tıp Fakültesi’nin yanındaki bir ilköğretim okulunda yapıldı Okulda eğitimini sürdüren toplam 857 çocuk 428 kız 429 erkek çalışmaya alındı Çalışmada yer alan çocukların ortalama yaşı 10 57±2 4 sınır 6 16 yıl yıldı Kronik hastalığı olan çocuklar çalışma dışı bırakıldılar Eklem hipermobilitesi tanısı Beighton tanı ölçütlerine göre konuldu Beighton tanı ölçütlerinde 6 sınır değerin üzerindeki çocuklar hipermobil olarak kabul edildiler Kas iskelet sistemine ait yakınmaların varlığı ailelere yollanan bir sorgulama formu aracılığı ile belirlendi Çalışmaya alınan 857 çocuğun 118’inde 13 EHM vardı Çalışmadaki tüm çocuklardan elde edilen ortalama EHM skoru 2 5 idi Çalışmada yer alan kız çocukların 85’i 19 9 erkek çocukların ise 33’ü 7 7 hipermobildi Kız çocuklarında EHM sıklığı istatistiksel olarak anlamlı derecede yüksekti p lt;0 001 Yaş ile hipermobilite skoru arasında ters bir ilişki vardı r= 0 21; p lt;0 001 Kas iskelet yakınmalarını değerlendirmek amacı ile yollanan sorgulama formlarının 546’sı 63 7 aileler tarafından yanıtlandı Sorgulama formlarını yanıtlayan 85 15 5 çocukta kas iskelet sistem yakınması vardı Bu çocukların 31’i 36 4 hipermobildi Hipermobil çocuklarda kas iskelet yakınmalarının ortaya çıkma sıklığı hipermobil olmayan gruba göre anlamlı olarak yüksekti p lt;0 001 Sonuç olarak EHM ülkemizde de diğer ülke çocuklarında olduğu gibi nadir olmayan klinik bir durumdur Bundan ötürü çocuk hekimleri özellikle kas iskelet sistemine ait yakınmalar ile başvuran çocuklarda mutlaka eklem hipermobilitesini de ayırıcı tanıda akılda tutmalıdır nbsp;Anahtar Kelimeler: eklem hipermobilitesi kas iskelet sistem bulgularıSummaryJoint hypermobility JHM is a clinical state that can arise alone or with different syndromes in childhood JHM can arise with musculoskeletal findings especially arthralgia in majority The objective of this study is to determine the frequency of JHM and its relationship to musculoskeletal complaints in healthy school children This study was conducted in a primary school near the Cerrahpasa Medical Faculty in Autumn 2003 Eight hundred fifty seven children 428 females 429 males attending the school were studied Their mean age was 10 57±2 4 years range 6 16 years The children with a reported illness were excluded Joint hypermobility was diagnosed according to Beighton criteria in children The children who got avahie over 6 points according to Beighton criteria were accepted as hypermobile The presence of musculoskeletal complaints was determined by a questionnaire sent to the families of the children One hundred eighteen 13 8 of 857 children studied had hypermobility The mean hypermobility score obtained from all participants was 2 5 85 19 9 of girls and 33 7 7 of boys were hypermobile Hypermobility incidence was higher in girls component to boys The difference was statistically significant p lt;0 001 Age was inversely correlated with joint hypermobility r = 0 21 p lt;0 001 The questionnaire aiming to determine the presence of musculoskeletal complaints was answered by 564 63 7 families 85 15 5 of children who answered the questionnaire had musculoskeletal complaints 31 36 4 of these children were hypermobile The presence rate of musculoskeletal complaints was significantly high among hypermobile children P lt;0 001 In conclusion similar to that found in children from many countries joint hypermobility is not an uncommon clinical state in Turkish children Thus pediatricians must consider joint hypermobility in the differential diagnosis of children with musculoskeletal complaints Key words: joint hypermobility musculoskeletal complaints

Anahtar Kelimeler

eklem hipermobilitesi, kas-iskelet sistem bulguları