Article Text


AB0159 Joint hypermobility and musculoskeletal pain
  1. MM Costa,
  2. P Nero,
  3. E Branco,
  4. J Branco
  1. Rheumatology, Egas Moniz, Lisbon, Portugal


Objectives The aim of this study was analyse the frequency of joint hypermobility in urban schoolchildren and association with musculoskeletal pain.

Methods The modified criteria of Cartier and Wilkinson for joint hypermobility was applied, by two Rheumatologists, on 479 schoolchildren (263 female and 216 male). Mean age was 11+2.4 years, range 6–17 years. The population was 92% Caucasian. All children answered a questionnaire for musculoskeletal pain.

Results Forty one percent had one of the five positive test manoeuvres for joint hypermobility. Only one child had 3 positive test manoeuvres, 20 had two positive test and 175 had one positive test manoeuvres (mean 1.1 +0.3). Passive apposition of the thumbs to the flexor aspects of the forearm occurred in 168 cases.

Musculoskeletal pain occurred in 32% of children, without relationship of pain and hypermobility in the same joint.

Presence of pain was no statistically significant among cases with and without hypermobility.

Physical activity was no associated with pain in hypermobility joint.

Conclusion Hypermobility syndrome was rare in our population. Passive apposition of the thumbs to the flexor aspects of the forearm was the most frequent positive manover. Joint hypermobility was no related with musculoskeletal pain. Physical activity was no a risk factor to pain in joint with hyperlaxity.

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