Joint mobility in adult patients with groin hernias
| Autor: | Adelin Albert, Alain Pans |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
musculoskeletal diseases
Joint hypermobility Adult Joint Instability Male Wrist Joint medicine.medical_specialty Knee Joint Elbow Hernia Inguinal Wrist Severity of Illness Index Risk Factors Finger Joint Arthropathy Elbow Joint medicine Humans Hernia Joint dislocation Range of Motion Articular Connective Tissue Diseases Aged Groin business.industry Syndrome Middle Aged medicine.disease digestive system diseases Surgery body regions Inguinal hernia surgical procedures operative medicine.anatomical_structure business |
| Zdroj: | Hernia : the journal of hernias and abdominal wall surgery. 7(1) |
| ISSN: | 1265-4906 |
| Popis: | The basic mechanisms of hernia formation remain mostly unknown, but several studies suggest that a connective-tissue pathology, affecting mainly the collagen metabolism, could play a role in the genesis of groin hernias. It would be interesting to know if this pathology can express some clinical signs other than the hernia. Our study focused on the joint mobility and the diagnostic criteria for benign joint hypermobility syndrome. Sixty male adult patients with inguinal hernias and 62 control subjects without hernias, age-matched, were compared, taking into account anamnestic criteria (family history of groin hernia, joint sprain, joint dislocation, skin striae, major arthralgia) and joint mobility. This was assessed by using Beighton criteria and measuring the range of movement of five joints (extension of the fifth finger, thumb, wrist, elbow, and knee). The frequency of the positive anamnestic criteria was not statistically different between the two groups. Nevertheless, a family history of groin hernia was observed in 25% of the hernia patients, against 16% in the control subjects ( P =0.23). The mean Beighton score was 0.30 in the hernia patients and 0.29 in the control population. The movement range of the five examined joints was similar in the two groups. In conclusion, patients with a groin hernia presented neither joint hypermobility nor clinical evidence of a benign joint hypermobility syndrome. Although abnormal collagen metabolism is likely implicated in hernia formation, this pathology does not seem to have clinical repercussion on joint mobility. |
| Databáze: | OpenAIRE |
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