Association of Generalized Joint Hypermobility With a History of Glenohumeral Joint Instability
- 1 May 2010
- journal article
- Published by Journal of Athletic Training/NATA in Journal of Athletic Training
- Vol. 45 (3), 253-258
- https://doi.org/10.4085/1062-6050-45.3.253
Abstract
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.Keywords
This publication has 40 references indexed in Scilit:
- The Effects of Generalized Joint Laxity on Risk of Anterior Cruciate Ligament Injury in Young Female AthletesThe American Journal of Sports Medicine, 2008
- Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndromeRheumatology, 2007
- The Incidence and Characteristics of Shoulder Instability at the United States Military AcademyThe American Journal of Sports Medicine, 2007
- The risk of anterior cruciate ligament rupture with generalised joint laxityThe Journal of Bone and Joint Surgery. British volume, 2005
- The Lax Shoulder in FemalesClinical Orthopaedics and Related Research, 2000
- Comparison of Glenohumeral Joint Laxity in Elite and Recreational SwimmersClinical Journal of Sport Medicine, 1996
- Incidence and causes of shoulder girdle injuries in an urban populationJournal of Shoulder and Elbow Surgery, 1995
- The epidemiology of shoulder dislocationsArchives of orthopaedic and trauma surgery, 1989
- Incidence of Anterior Shoulder Dislocation in Olmsted County, MinnesotaPublished by Ovid Technologies (Wolters Kluwer Health) ,1984
- Articular mobility in an African population.Annals Of The Rheumatic Diseases, 1973