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首页> 外文期刊>BMC Musculoskeletal Disorders >The extent and risk of knee injuries in children aged 9–14 with Generalised Joint Hypermobility and knee joint hypermobility - the CHAMPS-study Denmark
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The extent and risk of knee injuries in children aged 9–14 with Generalised Joint Hypermobility and knee joint hypermobility - the CHAMPS-study Denmark

机译：9-14岁患有全身性关节过度活动和膝关节过度活动的儿童膝盖受伤的程度和风险-CHAMPS-丹麦研究

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Generalised Joint Hypermobility (GJH) is suggested as an aetiological factor for knee injuries in adolescents and adults. It is presumed that GJH causes decreased joint stability, thereby increasing the risk of knee injuries during challenging situations like jumping and landing. The aim was to study the extent and risk of knee injuries in children with GJH and knee hypermobility. In total, 999 children (9–14 years) were tested twice during spring 2012 and 2013 with Beighton′s Tests (BT) for hypermobility, a 0–9 scoring system. GJH was classified with cut-point ≥5/9 on both test rounds. On basis of weekly cell phone surveys of knee pain, children requiring clinical examination were seen. Traumatic and overuse knee injuries were registered by WHO ICD-10 diagnoses. Logistic regression and Poisson regression models with robust standard errors were used to examine the association between GJH and knee injuries, taking into account clustering on school class levels. Totally, 36 children were classified GJH on both test rounds. Overuse knee injuries were the most frequent injury type (86?%), mainly apophysitis for both groups (61?%), other than patella-femoral pain syndrome for the control group (13?%). For traumatic knee injuries, distortions and contusions were most frequent in both groups (51?% resp. 36?%), besides traumatic lesions of knee tendons and muscles for the control group (5?%). No significant association was found between overuse knee injuries and GJH with/without knee hypermobility (OR 0.69, p?=?0.407 resp. OR 0.75, p?=?0.576) or traumatic knee injuries and GJH with/without knee hypermobility (OR 1.56, p?=?0.495 resp. OR 2.22, p?=?0.231). Apophysitis, distortions and contusions were the most frequent knee injuries. Despite the relatively large study, the number of children with GJH and knee injuries was low, with no significant increased risk for knee injuries for this group. This questions whether GJH is a clinically relevant risk factor for knee injuries in school children aged 9–14 years. A fluctuation in the individual child′s status of GJH between test rounds was observed, suggesting that inter- and intra-tester reproducibility of BT as well as growth may be considered important confounders to future studies of children with GJH.
机译：建议将全身关节过度活动症（GJH）作为青少年和成人膝盖受伤的病因。据推测，GJH导致关节稳定性下降，从而增加了在诸如跳跃和着陆等挑战性情况下膝盖受伤的风险。目的是研究患有GJH和膝关节活动过度的儿童膝盖受伤的程度和风险。在2012年春季和2013年春季，共有999名儿童（9至14岁）接受了Beighton's Test（BT）进行的0-9评分系统的高机动性测试。在两个测试回合中，GJH的分界点≥5/9。根据每周一次的膝盖疼痛手机调查，发现需要临床检查的儿童。 WHO ICD-10诊断记录了膝关节创伤和过度使用。考虑到学校班级的聚类情况，使用具有可靠标准误差的Logistic回归和Poisson回归模型来检查GJH与膝关节损伤之间的关联。在两个测试回合中，共有36名儿童被归类为GJH。膝关节过度劳损是最常见的损伤类型（86％），除mainly骨-股骨疼痛综合征（13％）外，两组的骨质疏松症最多（61％）。对于膝关节外伤，两组中畸形和挫伤最常见（51％，分别为36％），对照组膝肌腱和肌肉的外伤（5％）。膝关节过度活动（或没有膝关节过度活动）（OR 0.69，p？=？0.407或0.75，p？=？0.576）与膝关节过度活动（OR 1.56）存在过度膝关节损伤与GJH之间无显着相关性，p≤0.495或2.22，p≤0.231）。骨po，扭曲和挫伤是最常见的膝盖受伤。尽管进行了较大的研究，但患有GJH和膝伤的儿童数量很少，该组的膝伤风险没有显着增加。这质疑了GJH是否是9-14岁学龄儿童膝伤的临床相关危险因素。在测试轮之间观察到单个孩子的GJH状态存在波动，这表明测试者之间和测试者之间BT的可重复性以及生长可能被认为是将来对GJH儿童进行研究的重要混杂因素。

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