Hypermobility Spectrum Disorder

Question 1

Typical patient

Answer 1

Asian women

Question 2

Pathophysiology

Answer 2

Chronic pain inpatients with hypermobile joints, with increased rom. Usually due laxity in joint capsule, ligaments and tendons.
Pain due to microtrauma.

Question 3

Symptoms

Answer 3

Pain (worse after movement)
Fatigue
Myopia
Hernia
Rectal prolapse
Recurrent dislocations
Marfans habitus
Spider fingers

Question 4

Investigations

Answer 4

Genetic testing to rule out Marfans (fibrillin [FBN-1]) and Ehlers Danlos Syndrome (Collagen)

Question 5

Scoring tool

Answer 5

Beignton scoren (/9)
1. Index finger extension (1+1)
2. Thumb extension (1+1)
3. Knee extension (1+1)
4. Elbow extension (1+1)
5. Touch floor with palms. (1)

Question 6

Treatment

Answer 6

Joint strengthening exercises
Balance and posture correction
Splinting/surgery.
Managing expectations. Activity modification.
Paracetamol PRN.

Question 7

Treatment

Answer 7

Joint strengthening exercises
Balance and posture correction
Splinting/surgery.
Managing expectations. Activity modification.
Paracetamol PRN.