Abstract

SUAREZ AYALA, Diana Vanessa; VALENCIA, María  and  GOMEZ MORA, María del Pilar. Relationship between generalised joint hypermobility and joint pain in 4 to 17 year-old children in Pasto, Colombia. Rev.Colomb.Reumatol. [online]. 2015, vol.22, n.4, pp.210-216. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2015.10.005.

Introduction: Generalised joint hypermobility (GJH) and its association with joint pain in children is controversial. So far, there are no publications from Colombia in the literature reviewed. Objectives: The main objective of this study was to identify the association between GJH and joint pain in children aged 4-17 years in Pasto, Colombia. Materials and methods: Descriptive, analytical type, case-control study of children from a school in Pasto, Colombia. GJH was defined using Beighton criteria, considering 5 or more criteria as positive. A questionnaire on joint pain was completed. Results: A total of 576 children, with a mean age of 9.7 years (SD±3) were included. GJH prevalence was 52%, with 20% of children referring to joint pain. When GJH was associated with joint pain, the OR was 0.68 with p =.07 (95% CI; 0.44-1.04). The comparison between localised pain in joints and hypermobility in the subjects with and without GJH, the OR was 4.80 with p =.0001 (95% CI; 2.17 to 10.63). Conclusions: The prevalence of GJH was 52%, being higher in girls (66%). The prevalence of pain was 20%, and 17 and 23% of children with and without GJH, respectively, had joint pain. No association between joint pain and HAG was found in the group evaluated. The result did not change when stratified by age and gender. It was found that children with GJH were more likely to have pain in joints and an increased range of motion than those who did not have GJH.

Keywords : Hypermobility; Arthralgia; Schoolchildren.

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