The joint hypermobility syndrome in a Cuban juvenile population
Síndrome de hipermovilidad articular en una población juvenil cubana
Francisco M. Menéndez Alejo
, Damaris Díaz Lazaga, Verena Torrez Cárdenas, Vicente Martínez Rodríguez
Corresponding author
Hospital General Docente Aleida Fernandez Chardiet, Departamento de Clínicas, Servicio de Reumatología, Güines, Habana, Cuba
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Menéndez Alejo, Damaris Díaz Lazaga, Verena Torrez Cárdenas, Vicente Martínez Rodríguez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Francisco M." "apellidos" => "Menéndez Alejo" "email" => array:2 [ 0 => "framenendez@infomed.sld.cu" 1 => "menendez@infomed.sld.cu" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Damaris" "apellidos" => "Díaz Lazaga" ] 2 => array:2 [ "nombre" => "Verena" "apellidos" => "Torrez Cárdenas" ] 3 => array:2 [ "nombre" => "Vicente" "apellidos" => "Martínez Rodríguez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital General Docente Aleida Fernandez Chardiet, Departamento de Clínicas, Servicio de Reumatología, Güines, Habana, Cuba" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de hipermovilidad articular en una población juvenil cubana" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-02" "fechaAceptado" => "2008-12-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112222" "palabras" => array:5 [ 0 => "Joint hypermobility syndrome" 1 => "Young population" 2 => "Dysautonomia" 3 => "Chronicle pain" 4 => "Hematomas" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112223" "palabras" => array:5 [ 0 => "Síndrome de hipermovilidad articular" 1 => "Población joven" 2 => "Disautonomía" 3 => "Dolor crónico" 4 => "Hematomas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In order to review the rise in joint hypermobility syndrome, identify the patterns associated with this diagnosis and correlate its most relevant symptoms, we did a descriptive transversal analytic study in a group of 280 young people of both genders between 15 and 17 years of age. A survey was carried out by the authors in order to get reach these objectives. The data were analyzed by means of descriptive statistics and processed with the Epidat3.1 software package. Results are shown in charts.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The joint hypermobility syndrome (JHS) was diagnosed in 32 people (11.4% of the population studied) with mean age 15.7 years, predominance in the female sex and in the white skin group (P<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.01). Fifty-three point one percent of those patients with hypermobility presented skin lesions associated to hereditary diseases of the connective tissue; among them the most relevant clinical sign was the presence of hematomas (P<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.003). Symptoms of dysautonomia were associated to JHS (P<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>.05) and correlated positively with the presence of hematomas. Moderate and severe chronic pain was also a feature of patients with the syndrome (P<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>.001) and was correlated in a positive manner to the hematomas.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Vascular affection as demonstrated by the formation of hematomas was the skin lesion more important among young people with JHS in this study. These lesions can be representative of the syndrome and a translate a larger damage at the connective tissue level.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Para investigar la frecuencia de aparición del síndrome de hipermovilidad articular (SHA), identificar los cuadros asociados a este diagnóstico y correlacionar los síntomas más significativos, se realizó un estudio descriptivo-analítico en un grupo de 280 jóvenes de ambos sexos con edades comprendidas entre los 15 y los 17 años. Para la obtención de los objetivos se elaboró por parte de los autores un modelo de encuesta. Los datos se procesaron por estadística descriptiva utilizando el programa Epidat 3.1. Los resultados se muestran en tablas confeccionadas al efecto.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El SHA se diagnosticó en 32 individuos (11,4% de los encuestados) con una media de edad de 15 años, predominio en el sexo femenino y en el grupo de población con color de piel blanca (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01). El 53,1% de los hipermóviles presentó lesiones cutáneas de las asociadas a las enfermedades hereditarias del tejido conjuntivo y, entre ellas, la presencia de los hematomas resultó significativa (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,003). Los síntomas de disautonomía se asociaron al SHA (p<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,05) y se correlacionaron positivamente con los hematomas. El dolor crónico moderado y grave apareció en los individuos con el síndrome (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,001) y también se correlacionó en forma positiva con los hematomas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La afectación vascular demostrada por la formación de hematomas fue el tipo de lesión cutánea más frecuente entre los hipermóviles jóvenes; esta lesión podría estar representando una forma más sintomática del síndrome y una mayor profundidad de daño a nivel de tejido conjuntivo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 20 | 28 |
| 2024 October | 23 | 38 | 61 |
| 2024 September | 19 | 22 | 41 |
| 2024 August | 42 | 36 | 78 |
| 2024 July | 29 | 38 | 67 |
| 2024 June | 19 | 37 | 56 |
| 2024 May | 33 | 23 | 56 |
| 2024 April | 23 | 24 | 47 |
| 2024 March | 26 | 29 | 55 |
| 2024 February | 24 | 20 | 44 |
| 2024 January | 18 | 28 | 46 |
| 2023 December | 17 | 32 | 49 |
| 2023 November | 12 | 23 | 35 |
| 2023 October | 19 | 30 | 49 |
| 2023 September | 24 | 37 | 61 |
| 2023 August | 17 | 18 | 35 |
| 2023 July | 21 | 25 | 46 |
| 2023 June | 17 | 24 | 41 |
| 2023 May | 18 | 18 | 36 |
| 2023 April | 10 | 5 | 15 |
| 2023 March | 28 | 29 | 57 |
| 2023 February | 16 | 33 | 49 |
| 2023 January | 27 | 24 | 51 |
| 2022 December | 28 | 33 | 61 |
| 2022 November | 25 | 24 | 49 |
| 2022 October | 31 | 38 | 69 |
| 2022 September | 16 | 33 | 49 |
| 2022 August | 27 | 40 | 67 |
| 2022 July | 30 | 44 | 74 |
| 2022 June | 19 | 40 | 59 |
| 2022 May | 21 | 53 | 74 |
| 2022 April | 33 | 47 | 80 |
| 2022 March | 28 | 46 | 74 |
| 2022 February | 28 | 28 | 56 |
| 2022 January | 15 | 38 | 53 |
| 2021 December | 23 | 51 | 74 |
| 2021 November | 21 | 41 | 62 |
| 2021 October | 22 | 50 | 72 |
| 2021 September | 27 | 50 | 77 |
| 2021 August | 18 | 35 | 53 |
| 2021 July | 9 | 31 | 40 |
| 2021 June | 24 | 43 | 67 |
| 2021 May | 18 | 44 | 62 |
| 2021 April | 48 | 83 | 131 |
| 2021 March | 33 | 25 | 58 |
| 2021 February | 25 | 28 | 53 |
| 2021 January | 14 | 25 | 39 |
| 2020 December | 22 | 23 | 45 |
| 2020 November | 34 | 17 | 51 |
| 2020 October | 28 | 17 | 45 |
| 2020 September | 22 | 17 | 39 |
| 2020 August | 17 | 16 | 33 |
| 2020 July | 9 | 11 | 20 |
| 2020 June | 16 | 25 | 41 |
| 2020 May | 13 | 12 | 25 |
| 2020 April | 9 | 25 | 34 |
| 2020 March | 10 | 9 | 19 |
| 2020 January | 4 | 0 | 4 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 2 | 0 | 2 |
| 2018 May | 2 | 1 | 3 |
| 2018 April | 21 | 17 | 38 |
| 2018 March | 21 | 14 | 35 |
| 2018 February | 12 | 1 | 13 |
| 2018 January | 12 | 7 | 19 |
| 2017 December | 10 | 5 | 15 |
| 2017 November | 16 | 5 | 21 |
| 2017 October | 9 | 6 | 15 |
| 2017 September | 8 | 4 | 12 |
| 2017 August | 11 | 8 | 19 |
| 2017 July | 15 | 9 | 24 |
| 2017 June | 28 | 12 | 40 |
| 2017 May | 33 | 10 | 43 |
| 2017 April | 18 | 9 | 27 |
| 2017 March | 20 | 3 | 23 |
| 2017 February | 7 | 3 | 10 |
| 2017 January | 11 | 0 | 11 |
| 2016 December | 31 | 8 | 39 |
| 2016 November | 7 | 1 | 8 |
| 2016 October | 18 | 5 | 23 |
| 2016 September | 23 | 8 | 31 |
| 2016 August | 20 | 5 | 25 |
| 2016 July | 11 | 5 | 16 |
| 2016 June | 0 | 10 | 10 |
| 2016 May | 0 | 12 | 12 |
| 2016 April | 2 | 12 | 14 |
| 2016 March | 0 | 12 | 12 |
| 2016 February | 3 | 9 | 12 |
| 2016 January | 0 | 9 | 9 |
| 2015 December | 6 | 0 | 6 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 2 | 0 | 2 |
| 2015 July | 13 | 3 | 16 |
| 2015 June | 20 | 12 | 32 |
| 2015 May | 55 | 20 | 75 |
| 2015 April | 27 | 14 | 41 |
| 2015 March | 29 | 14 | 43 |
| 2015 February | 28 | 6 | 34 |
| 2015 January | 29 | 15 | 44 |
| 2014 December | 25 | 16 | 41 |
| 2014 November | 24 | 23 | 47 |
| 2014 October | 27 | 21 | 48 |
| 2014 September | 12 | 15 | 27 |
| 2014 August | 20 | 14 | 34 |
| 2014 July | 25 | 28 | 53 |
| 2014 June | 42 | 15 | 57 |
| 2014 May | 30 | 16 | 46 |
| 2014 April | 43 | 16 | 59 |
| 2014 March | 33 | 16 | 49 |
| 2014 February | 40 | 10 | 50 |
| 2014 January | 28 | 11 | 39 |
| 2013 December | 31 | 14 | 45 |
| 2013 November | 20 | 7 | 27 |
| 2013 October | 38 | 16 | 54 |
| 2013 September | 35 | 15 | 50 |
| 2013 August | 31 | 17 | 48 |
| 2013 July | 36 | 16 | 52 |
| 2013 June | 21 | 12 | 33 |
| 2013 May | 22 | 11 | 33 |
| 2013 April | 27 | 17 | 44 |
| 2013 March | 26 | 19 | 45 |
| 2013 February | 28 | 7 | 35 |
| 2013 January | 19 | 9 | 28 |
| 2012 December | 15 | 9 | 24 |
| 2012 November | 6 | 7 | 13 |
| 2012 October | 5 | 4 | 9 |
| 2012 September | 7 | 3 | 10 |
| 2012 April | 3 | 0 | 3 |
| 2012 March | 3 | 0 | 3 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 6 | 0 | 6 |
| 2011 December | 3 | 0 | 3 |
| 2011 November | 8 | 0 | 8 |
| 2011 October | 2 | 0 | 2 |
| 2011 September | 1 | 0 | 1 |
| 2011 August | 1 | 0 | 1 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 4 | 0 | 4 |
| 2011 March | 4 | 0 | 4 |
| 2011 February | 3 | 0 | 3 |
| 2011 January | 4 | 0 | 4 |
| 2010 December | 7 | 0 | 7 |
| 2010 November | 4 | 0 | 4 |
| 2010 October | 10 | 0 | 10 |
| 2010 September | 1 | 0 | 1 |
| 2010 August | 15 | 0 | 15 |
| 2010 July | 3 | 0 | 3 |
| 2010 June | 7 | 0 | 7 |
| 2010 May | 12 | 0 | 12 |
| 2010 April | 14 | 0 | 14 |
| 2010 March | 4 | 0 | 4 |
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