Objective: Generalized joint hypermobility (GJH) is a condition of the connective tissue, which has movement ability beyond the normal limit of synovial joints. Its effects on disc degeneration and neck pain are not fully known. The aim of the present study was to determine the relationship between GJH and cervical disc degeneration that is detected in magnetic resonance imaging (MRI) and also neck pain. Methods: Cases aged between 20 and 50 years who were admitted to outpatient clinics with neck and arm pain were included in the study. Their cervical MRIs were evaluated. Beighton score was used to evaluate these cases for GJH, and they were also evaluated prospectively using the Visual Analog Scale (VAS) for pain and Neck Disability Index (NDI) for disability. Results: Of the 75 cases, 59 (78.7%) were female, 16 (21.3%) were male, and GJH was found in 15 (20%). There was no statistically significant difference in the values of Miyazaki grade parameters in all cervical disc levels and VAS and NDI values between the patients with and without GJH (p>0.05). Conclusion: This result suggests that GJH may not be a single risk factor for cervical disc degeneration, and VAS and NDI values increase in patients aged between 20 and 50 years.
Amaç: Generalize eklem hipermobilitesi (GEH) sinovial eklemlerin normal sınırın ötesinde hareket yeteneğinin olduğu bir durum olup disk dejenerasyonu üzerine etkileri bilinmemektedir. Çalışmamızın amacı GEH ile manyetik rezonans görüntülemede (MRG) saptanılan servikal disk dejenerasyonu ve boyun ağrısı arasındaki ilişkiyi ortaya çıkarmaktır. Gereç ve Yöntem: Beyin cerrahisi ve fizik tedavi ve rehabilitasyon polikliniklerine boyun ve/veya kol ağrısı yakınması ile baş vuran 20–50 yaş arasındaki olgular çalışmaya alındı. Kriterlere uyan olguların servikal MRG’leri değerlendirildi. Bu olguları GEH yönünden değerlendirmede Beighton skoru kullanıldı. Olgular ayrıca Vizüel Analog Skala (VAS) kullanılarak ağrı, Boyun Dizabilite İndeksi (BDİ) kullanılarak dizabilite yönünden ileriye dönük olarak değerlendirildiler. Bulgular: Çalışma kriterlerine uyan 75 olgunun 59’u kadın (%78.7), 16’sı erkek (%21.3), yaş ortalamaları 37.61±7.89 yıl idi. Olguların 15’inde GEH saptandı (%20), 60’ında GEH’ye rastlanılmadı (%80). GEH görülenlerle görülmeyenler arasında servikal disk düzeylerinde Miyazaki grade parametreleri açısından istatistiksel olarak anlamlı bir farklılık bulunmadı (p>0.05). Aynı şekilde gruplar arasında VAS ve BDİ değerleri açısından da istatistiksel olarak anlamlı bir farklılık yoktu (p>0.05). Sonuç: Bu sonuç 20–50 yaş aralığındaki olgularda, normal şartlar altında, GEH’nin servikal disk dejenerasyonu ile VAS ve BDİ artışında tek başına bir risk faktörü olmayabileceğini düşündürmüştür.
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