Lomber Disk Hernisi ve Benign Eklem Hipermobilite Sendromu

Giriş: Benign eklem hipermobilitesi pek çok kas iskelet hastalıkları ile bir arada bulunabilen bir sendromdur. Lomber disk hernisi de bunlardan biridir. Bu çalışmanın amacı, lomber disk hernisi ile benign hipermobilite sendromu arasında bir ilişki olup olmadığını göstermektir. Gereç ve Yöntem: Bu çalışmaya lomber disk hernisi tanısı konan 133 hasta alındı. Bu hastalarda revize Brighton kriterleri kullanılarak hipermobilite değerlendirildi. Bulgular: Çalışmaya alınan 133 hastanın 80’i (%60,2) kadın, 53’ü (%39,8) erkekti. Yaş ortalaması kadınlarda 41.6 ±10.2, erkeklerde 38.6±11.9 olarak tespit edildi. Beighton skoru ortama 1.14±1.6 idi. Hastaların revize brighton kriterlerine göre 15’inde (%11,3) hipermobilite vardı. Sonuç: Benign eklem hipermobilitesi, lomber disk hernisine eşlik eden bir semptom olabilir. Aynı zamanda, Benign eklem hipermobilitesi lomber disk hernisi için bir risk oluşturabilir. Ancak bizim çalışmamızda böyle bir ilişki bulunamadı. Hipermobilite toplumda yaygın görülen bir durum olmasına karşılık, göz önünde bulundurulmadığı için hastalara uygulanmaktadır. Benign hipermobilite sendromunun akılda tutulması, birçok kas iskelet hastalığına yatkınlık oluşturduğu için koruyucu hekimlik bakımından da önemlidir

Anahtar Kelimeler:

Benign eklem hipermobilite sendromu; Beighton kriterleri; Brighton kriterleri; lomber disk hernisi

Lomber Disk Hernisi ve Benign Eklem Hipermobilite Sendromu

Objective: Benign joint hypermobility is a syndrome that it can be seen together with many other muscle-skeleton disorders. Lower backpain is an important result of hypermobility syndrome. The aim of this study is representing of whether there is a relation between lumbar disc hernia and benign hypermobility syndrome. Material and Methods: 133 patients who diagnosed with lumbar disc hernia was included in this study. By using of revised brighton criteria of these patients, hypermobility is evaluated. Results: 80 female (%60.2) and 53 male (%39.8) totally 133 patient were placed in the study. Mean age was 41.6 ±10.2 in female and 38.6±11.9 in male. Mean Beighton score was 1.14±1.6. According to revised brighton criteria, 15 patients (%11.3) had hypermobility. Conclusion: Benign joint hypermobility can be a symptom accompanied by lumbar disc hernia. At the same time, benign joint hypermobility can form a risk for lumbar disc hernia. However, such a relation couldn’t be found in our study. Altough hypermobility is being seen widely in the population and because of not to take into consideration this fact; the patients is wrongly diagnosed and treated unnecessarily. Keeping in mind of benign joint hypermobility syndrome is also important with regard to preventive medicine because of the tendency of many other muscle-skeleton disorders

Keywords:

Benign joint hypermobility syndrome; Beighton,

PDF

___

Rowe DW, Shapiro JR. Heritable Disorders of structural proteins. In: Kelley WN, Harris ED, Ruddy S, Sledge CB, et al (Editor). Textbook of rheumatology. 4th edition, Philadelphia: WB Saunders Company, 1993:1567-92.
Grahame R (Editor). Hypermobility and hypermobility syndrome. In: Keer R, Grahame R. Hypermobility syndrome:
physiotherapists. 2003:1-14. and Butterworth- for London:
Heinemann, 3. Grahame R, Bird HA, Child A. The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). J Rheumatol 2000;27(7):1777-9.
Russek LN. Hypermobility syndrome. Phys Ther 1999;79(6):591-7.
Mallik AK, Ferrell WR, McDonald AG, et al. Impaired proprioceptive acutity at the proximal interphalangial joint in patients with the hypermobility syndrome. Br J Rheumatol 1994;33(7):631-7.
Henney AM, Brotherton DH, Child AH, et al. Segregation analysis of collagen genes in two families with joint hypermobility syndrome. Br J Rheumatol 1992;31(3):169- 74.
Hall MG, Ferrel WR, Sturrock RD, et al. The effect of the hypermobility syndrome on knee joint proprioception. Br J Rheumatol 1995;34(2):121-5.
Hakim A, Grahame R. Joint hypermobility. Best Pract Res Clin Rheumatol 2003;17(6):989-1004.
Adip N, Davies K, Grahame R, et al. Joint hypermobility syndrome in childhood. A not so benign multisystem disorder . Rheumatolgy (Oxford) 2005;44(6):744-50.
Mishra MB, Ryhan P, Atkinson P, et al. Extra-articular features of benign hypermobility syndrome. Br J Rheumatol 1996;35(9):861-6.
Simmonds JV, Keer RJ. Hypermobility and the hypermobility syndrome. Man Ther 2007;12(4):298-309.
Gulbahar S, Sahin E, Baydar M, et al. Hypermobility syndrome increases the risk for low bone mass. Clin Rheumatol 2006;25(4):511-4.
Snead MP, Yates JR. Clinical and moleculer genetics of Stickler syndrome. J Med Genet 1999;36(5):353-9.
Grahame R, Hakim AJ. Hypermobility. Curr Opin Rheumatol 2008;20(1):106-10.
Kocatepe Tıp Dergisi 2013;14(3)