Comparison of joint hypermobility in general and orthopaedic clinic population in south India

Gollamudi S, Jitta S, Kakarla SV, Yalamanchili RK, Kambhampati SBS

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Srikanth Gollamudi^1,*, Sadhana Jitta², Santosh Vihari Kakarla³, Ranjith Kumar Yalamanchili⁴, and Srinivas BS Kambhampati⁵

¹Consultant Orthopaedic Surgeon, Al-Seef Hospital, Salmiya, Kuwait

²Brockville General Hospital, Ontario, ON K6V 1S8, Canada

³Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad, Telangana-500003, India

⁴Departmentof Orthopaedics, ESIC Medical College, Sanath Nagar, Hyderabad, Telangana-500038, India

⁵Sri Dhaatri Orthopaedic, Maternity and Gynaecology Centre, Vijayawada, Andhra Pradesh- 520008, India

*Corresponding author: Dr. Srikanth Gollamudi, Consultant Orthopaedic Surgeon, Al- Seef Hospital, Salmiya, Kuwait. drgollamudi@gmail.com

Received 20 October 2021; Revised 6 December 2021; Accepted 21 December 2021; Published 29 December 2021

Citation: Gollamudi S, Jitta S, Kakarla SV, Yalamanchili RK, Kambhampati SBS. Comparison of joint hypermobility in general and orthopaedic clinic population in south India. J Med Sci Res. 2022; 10(1):1-6. DOI: http://dx.doi.org/10.17727/JMSR.2022/10-1

Copyright: © 2022 Gollamudi S et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Background: Generalised joint hypermobility (GJH) is associated with musculoskeletal symptoms. Beighton score is universally used to measure hypermobility and the cut off score of ≥4 is quoted in literature to define GJH. No data exists on the prevalence of GJH in patients attending orthopaedic outpatients in India.

Materials and methods: The objective of this study was to compare the prevalence of GJH in the general versus orthopaedic patients. 406 patients attending a wellness clinic and 1780 patients attending orthopaedic outpatient clinic in a large private hospital in south India were scored for hypermobility using Beighton score. The mean age of the cohorts attending the wellness clinic and orthopaedic clinic was 33.47± 11.63 years and 36.37± 9.36 years respectively. There were more males than females recruited in the orthopaedic clinic.

Results: The wellness group had significantly higher numbers in the 20 to 39 year age range compared to the orthopaedic group (p value <0.00001). There was a significantly higher proportion of zero Beighton score in the orthopaedic group (p value <0.00001). The proportion of people with Beighton score 4-9 in the wellness and orthopaedic groups were 33% and 3.3% respectively. The proportion of GJH with Beighton score 5-9 was 16% and 2% in the wellness and orthopaedic groups respectively.

Conclusions: This is the only study, to the best of our knowledge, to have attempted to compare GJH prevalence in orthopaedic patients with a control group. The prevalence of GJH is significantly higher in the general population than the orthopaedic out-patients. Beighton score is simple to perform and must be included in the management of every orthopaedic patient.

Keywords: Beighton score; generalised joint hypermobility; musculoskeletal