The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder

Akgun, Kenan; CAN, Günay; Aktas, Ilknur; PALAMAR KADIOĞLU, DENİZ; TERZİ, Yeliz

The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder

Yeliz TERZİ, (Sakarya Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Sakarya, Türkiye)

Kenan AKGÜN, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

İlknur AKTAŞ, (Sağlık Bakanlığı, Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye)

DENİZ PALAMAR KADIOĞLU, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Günay CAN (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İstanbul, Türkiye)

Turkish Journal of Rheumatology(.)Archives of Rheumatology

5 1

Yıl: 2013 Cilt: 28 Sayı: 4 Sayfa Aralığı: 234 - 241 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder

Öz:

Amaç: Bu çalışmada generalize eklem hipermobilitesi (GEH) ve omzun adeziv kapsüliti (AK) arasındaki muhtemel ilişki araştırıldı.Hastalar ve yöntemler: Çalışma grubunda 120'si AK tanılı ve kontrol grubunda 120'si primer subakromiyal sıkışma sendromu tanılı olmak üzere, toplam 240 hasta çalışmaya dahil edildi. Her iki grupta da ağrı şiddeti, omuz eklem hareket açıklığı, fonksiyonel değerlendirme, engellilik ve hipermobilite değerlendirildi. Generalize eklem hipermobilitesi Beighton skoru, benign eklem hipermobilite sendromu (BEHS) ise revize Brighton kriterleri ile değerlendirildi.Bulgular: Adeziv kapsülit grubunda, GEH sadece bir hastada (%0.08) olmak üzere oldukça nadir (p<0.05) saptanırken, BEHS'ye rastlanmadı. Kontrol grubunda ise dokuz hastada (%7.5) GEH, beş hastada (%4.2) BEHS gözlendi.Sonuç: Çalışma bulgularımız, GEH'in AK gelişimi için koruyucu veya önleyici bir faktör olabileceğini göstermektedir. Klinik pratikte, GEH olan hastalarda gelişen omuz ağrılarında, tablonun AK'ye dönüşümü açısından daha iyimser olunabileceğine inanıyoruz. Generalize eklem hipermobilitesi bulunan hastalarda AK gelişimi söz konusu ise, bu hastalar tedaviye daha iyi yanıt verebilir.

Anahtar Kelime:

Konular: Romatoloji

Generalize Eklem Hipermobilitesi ve Omzun Adeziv Kapsüliti Arasındaki İlişki

Öz:

Objectives: This study aims to investigate the possible relationship between generalized joint hypermobility (GJH) and adhesive capsulitis (AC) of the shoulder. Patients and methods: A total of 240 patients were enrolled in this study, including 120 patients diagnosed with AC in a study group and 120 patients diagnosed with primary subacromial impingement syndrome in the control group. We evaluated the pain severity, range of motion of the shoulder joint, functional status, disability, and hypermobility in both groups. The Beighton score was used to evaluate the GJH while the revised Brighton criteria were utilized for the patients with benign joint hypermobility syndrome (BJHS). Results: In the adhesive capsulitis group, GJH was significantly rare (p<0.05) with only one patient (0.08%) whereas BJHS was not found. In the control group, nine patients (7.5%) had GJH, and five (4.2%) had BJHS. Conclusion: Our study results suggest that GJH may be a protective or preventive factor in the development of AC. In clinical practice, we believe that in GJH patients we can be more optimistic regarding the concern of the conversion of shoulder pain to AC. If this has already taken place, then these patients may respond more positively to treatment in cases involving GJH.

Anahtar Kelime:

Konular: Romatoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	TERZİ Y, Akgun K, Aktas I, PALAMAR KADIOĞLU D, CAN G (2013). The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. , 234 - 241.
Chicago	TERZİ Yeliz,Akgun Kenan,Aktas Ilknur,PALAMAR KADIOĞLU DENİZ,CAN Günay The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. (2013): 234 - 241.
MLA	TERZİ Yeliz,Akgun Kenan,Aktas Ilknur,PALAMAR KADIOĞLU DENİZ,CAN Günay The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. , 2013, ss.234 - 241.
AMA	TERZİ Y,Akgun K,Aktas I,PALAMAR KADIOĞLU D,CAN G The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. . 2013; 234 - 241.
Vancouver	TERZİ Y,Akgun K,Aktas I,PALAMAR KADIOĞLU D,CAN G The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. . 2013; 234 - 241.
IEEE	TERZİ Y,Akgun K,Aktas I,PALAMAR KADIOĞLU D,CAN G "The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder." , ss.234 - 241, 2013.
ISNAD	TERZİ, Yeliz vd. "The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder". (2013), 234-241.

APA	TERZİ Y, Akgun K, Aktas I, PALAMAR KADIOĞLU D, CAN G (2013). The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(4), 234 - 241.
Chicago	TERZİ Yeliz,Akgun Kenan,Aktas Ilknur,PALAMAR KADIOĞLU DENİZ,CAN Günay The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.4 (2013): 234 - 241.
MLA	TERZİ Yeliz,Akgun Kenan,Aktas Ilknur,PALAMAR KADIOĞLU DENİZ,CAN Günay The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.4, 2013, ss.234 - 241.
AMA	TERZİ Y,Akgun K,Aktas I,PALAMAR KADIOĞLU D,CAN G The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(4): 234 - 241.
Vancouver	TERZİ Y,Akgun K,Aktas I,PALAMAR KADIOĞLU D,CAN G The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(4): 234 - 241.
IEEE	TERZİ Y,Akgun K,Aktas I,PALAMAR KADIOĞLU D,CAN G "The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.234 - 241, 2013.
ISNAD	TERZİ, Yeliz vd. "The Relationship Between Generalized Joint Hypermobility and Adhesive Capsulitis of the Shoulder". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/4 (2013), 234-241.