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- W4379650649 abstract "Background Hypermobile joints are a common yet under-recognized cause of noninflammatory joint pains. Patients with Hypermobile joints display a range of movement that is considered excessive, considering their age, gender, and ethnic background [1]. Hypermobile joints may be asymptomatic or associated with pain, fatigue, multisystemic complaints, and significant disability. In this study, we look at the clinical profile of patients with hypermobile joints who presented to our clinic. Objectives To study the clinical profile of patients with Hypermobile joints. Methods This is a prospective observational study. Patients who presented to our clinic (from 2018 to 2022) with musculoskeletal complaints with a Beighton score of 4 without concomitant inflammatory arthritis were selected. Clinical data were collected by doctors/trained nursing professionals using a proforma, and demographic and relevant clinical data were collected and analyzed. Results 236 patients were studied(203 females and 33 males).The mean age of patients was 41.6 years (±12.7 SD). The median duration of symptoms was 48 months (1 540 months) Median Beighton score was 7. The mean global VAS was 4(± 2 SD). Associated clinical features were as in Table 1. Criteria for Fibromyalgia(2016 revised criteria) were satisfied by 31% of patients. Total Beighton score showed a negative correlation with age (r= 0.334, p<0.05) Conclusion People with joint hypermobility-related disorders present a wide range of symptoms that extend across multiple body sites. Symptomatic hypermobile joints are present across all age groups. In our study, most patients presented with pains, especially in the form of dragging pains and cramps. An increase in joint stiffness with age leads to a decrease in the Beighton score, which should be considered to not miss hypermobility in the elderly. Extraarticular features of hypermobility give a clue to diagnoses of hypermobility in those with low Beighton scores. Often these patients are labeled as having fibromyalgia. In our study, 31% of patients satisfied the criteria for fibromyalgia. Hypermobile Joint Syndrome should be considered in patients presenting with nonspecific noninflammatory pains across multiple body sites in all age groups. References [1]Tinkle BT, Levy HP. Symptomatic Joint Hypermobility: The Hypermobile Type of Ehlers Danlos Syndrome and the Hypermobility Spectrum Disorders. Med Clin North Am. 2019 Nov;103(6):1021 1033. Doi: 10.1016/j.mcna.2019.08.002. [2]Simmonds JV, Keer RJ. Hypermobility and the hypermobility syndrome. Man Ther. 2007 Nov;12(4):298 309. Doi: 10.1016/j.math.2007.05.001. Epub 2007 Jul 20. PMID: 17643337. Table 1. Associated clinical features in patients with Hypermobile Joints Signs and symptom No of patients (Percentage of patients)N= 236 Joint pain 192 (81) Fatigue 169 (71.6) Clicking sensation in joints 154 (65) Muscle cramps 144 (61) Dragging pain 143 (60) Early morning stiffness 101 (42.4) Paraesthesia 87 (37) Scoliosis 83 (35) Striae 69 (29) Varicose veins 65 (27) High arched palate 61 (26) Cutaneous laxity 44 (19) Joint dislocation 18 (7) Hernia 15 (6) Acknowledgements: NIL. Disclosure of Interests None Declared." @default.
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- W4379650649 date "2023-05-30" @default.
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- W4379650649 title "AB1383 A STUDY ON THE CLINICAL PROFILE OF PATIENTS WITH HYPERMOBILE JOINTS" @default.
- W4379650649 doi "https://doi.org/10.1136/annrheumdis-2023-eular.5270" @default.
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