Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2012

01-04-2012 | Symposium: Arthroscopy

Do Patients With Traumatic Recurrent Anterior Shoulder Instability Have Generalized Joint Laxity?

Authors: Maximiliano Ranalletta, MD, Santiago Bongiovanni, MD, Federico Suarez, MD, Juan Manuel Lopez Ovenza, MD, Gaston Maignon, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2012

Login to get access

Abstract

Background

A number of studies suggest a relationship between generalized joint laxity (GJL) and increased risk of some musculoskeletal injuries. However, there are conflicting data on the association between GJL and traumatic recurrent shoulder instability (RSI).

Questions/purposes

We therefore asked whether the incidence of GJL in patients with RSI was greater than that in a control group.

Methods

We preoperatively determined GJL with a Beighton score in 100 male patients arthroscopically treated for RSI. The mean age of the patients was 25 years. We identified a control group of 100 individuals, matched for age and gender, with no known history of instability of the shoulder, knees, or ankles and obtained the same score. Those patients with a Beighton score greater than six points were considered lax (representing GJL).

Results

We identified no difference in the rate of GJL in the two groups: 13 of the 100 patients versus nine of the 100 control subjects.

Conclusion

Our data add to the literature suggesting GJL does not predispose to RSI.

Level of Evidence

Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
Literature
1.
Acasuso-Diaz M, Collantes-Estevex E, Sanchez-Guijo PS. Joint hyperlaxity and musculoskeletal lesions: study of a population of homogeneous age, sex, and physical exertion. Br J Rheumatol. 1993;32:120–122.PubMedCrossRef
2.
Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis. 1973;32:413–418.PubMedCrossRef
3.
Binns M. Joint laxity in idiopathic adolescent scoliosis. J Bone Joint Surg Br. 1988;70:420–422.PubMed
4.
Boyle KL, Witt P, Riegger-Krugh C. Intrarater and interrater reliability of the Beighton and Horan Joint Mobility Index. J Athl Train. 2003;38:281–285.PubMed
5.
Cofield RH, Nessler JP, Weinstabl R. Diagnosis of shoulder instability by examination under anesthesia. Clin Orthop Relat Res. 1993;291:45–53.PubMed
6.
Cooper RA, Brems JJ. The inferior capsular-shift procedure for multidirectional instability of the shoulder. J Bone Joint Surg Am. 1992;74:1516–1521.PubMed
7.
Emery RJ, Mullaji AB. Glenohumeral joint instability in normal adolescents. Incidence and significance. J Bone Joint Surg Br. 1991;73:406–408.PubMed
8.
Erkula G, Kiter AE, Kilic BA, Er E, Demirkan F, Sponseller PD. The relation of joint laxity and trunk rotation. J Pediatr Orthop B. 2005;14:38–41.PubMedCrossRef
9.
Finesterbush A, Pogrund H. The hypermobility syndrome: musculoskeletal complaints in 100 consecutive cases of generalized joint hypermobility. Clin Orthop Relat Res. 1982;168:124–127.
10.
Henry JH, Genung JA. Natural history of glenohumeral dislocation–revisited. Am J Sports Med. 1982;10:135–137.PubMedCrossRef
11.
Kralinger FS, Golser K, Wischatta R, Wambacher M, Sperner G. Predicting recurrence after primary anterior shoulder dislocation. Am J Sports Med. 2002;30:116–120.PubMed
12.
Levy AS, Lintner S, Kenter K, Speer KP. Intra- and interobserver reproducibility of the shoulder laxity examination. Am J Sports Med. 1999;27:460–463.PubMed
13.
Lintner SA, Levy A, Kenter K, Speer KP. Glenohumeral translation in the evaluation of general laxity in competitive swimmers asymptomatic athlete’s shoulder and its relationship to other clinically measurable anthropometric variables. Am J Sports Med. 1996;24:716–720.PubMedCrossRef
14.
Marans HJ, Angel KR, Schemitsch EH, Wedge JH. The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am. 1992;74:1242–1244.PubMed
15.
McFarland EG, Campbell G, McDowell J. Posterior shoulder laxity in asymptomatic athletes. Am J Sports Med. 1996;24:468–471.PubMedCrossRef
16.
Oliashirazi A, Mansat P, Cofield RH, Rowland CM. Examination under anesthesia for evaluation of anterior shoulder instability. Am J Sports Med. 1999;27:464–468.PubMed
17.
Pollock RG, Bigliani LU. Recurrent posterior shoulder instability. Diagnosis and treatment. Clin Orthop Relat Res. 1993;291:85–96.PubMed
18.
Postacchini F, Gumina S, Cinotti G. Anterior shoulder dislocation in adolescents. J Shoulder Elbow Surg. 2000;9:470–474.PubMedCrossRef
19.
Ramesh R, Von Arx O, Azzopardi T, Schranz PJ. The risk of anterior cruciate ligament rupture with generalised joint laxity. J Bone Joint Surg Br. 2005;87:800–803.PubMedCrossRef
20.
Robinson CM, Dobson RJ. Anterior instability of the shoulder after trauma. J Bone Joint Surg Br. 2004;86:469–479.PubMedCrossRef
21.
Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am. 1956;38:957–977.PubMed
22.
Sauers EL, Borsa PA, Herling DE, Stanley RD. Instrumented measurement of glenohumeral joint laxity and its relationship to passive range of motion and generalized joint laxity. Am J Sports Med. 2001;29:143–150.PubMed
23.
Tanchev PI, Dzherov AD, Parushev AD, Dikov DM, Todorov MB. Scoliosis in rhythmic gymnasts. Spine (Phila Pa 1976). 2000;25:1367–1372.CrossRef
24.
Warner JJ, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R. Patterns of flexibility, laxity, and strength in normal shoulders and shoulders with instability and impingement. Am J Sports Med. 1990;18:366–375.PubMedCrossRef
25.
Wheeler JH, Ryan JB, Arciero RA, Molinari RN. Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy. 1989;5:213–217.PubMedCrossRef
Metadata
Title
Do Patients With Traumatic Recurrent Anterior Shoulder Instability Have Generalized Joint Laxity?
Authors
Maximiliano Ranalletta, MD
Santiago Bongiovanni, MD
Federico Suarez, MD
Juan Manuel Lopez Ovenza, MD
Gaston Maignon, MD
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2012
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-011-1992-x

Other articles of this Issue 4/2012

Clinical Orthopaedics and Related Research® 4/2012 Go to the issue

Symposium: Value Based Healthcare

Value-based Care in the Management of Spinal Disorders: A Systematic Review of Cost-utility Analysis

Symposium: Value Based Healthcare

The Use of Three Strategies to Improve Quality of Care at a National Level

Letter to the Editor

Letter to the Editor: Surgical Technique: Medial Column Arthrodesis in Rigid Spastic Planovalgus Feet

Clinical Research

Is the Dislocation Rate Higher after Bipolar Hemiarthroplasty in Patients with Neuromuscular Diseases?

Symposium: Arthroscopy

Spontaneous Healing in Complete ACL Ruptures: A Clinical and MRI Study

Symposium: Arthroscopy

Arthroscopically Determined Degree of Injury After Shoulder Dislocation Relates to Recurrence Rate