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Rheumatology 2001; 40: 489-491
© 2001 British Society for Rheumatology

Editorials

Benign joint hypermobility in childhood

K. J. Murray and P. Woo1

Rheumatology Centre, University College London, 40–50 Tottenham Street, London W1P 9PG and Institute of Child Health and
1 Great Ormond Street Hospital for Sick Children, London, UK

Children inherently have a greater range of joint motion than adults, the prevalence of hypermobility, as defined by several criteria, varying in different populations from 5 to 30% [1–5]. This variation probably represents ethnic differences, but also the different ages at which joint examinations were undertaken and the different populations chosen for study. The frequency of musculoskeletal disorders (MSDs) arising from such hypermobility in childhood is quite variable, both across populations and within individuals. Some studies have suggested a definite causal link between hypermobility of joints and MSDs, but others have not found such a link [6–13]. In paediatric services, and in particular paediatric rheumatology services, a referral bias is undoubted, and studies including control groups of healthy asymptomatic individuals with and without hypermobility are essential to fully establish such links. Nonetheless, the body of evidence suggests that hypermobility is associated with . . . [Full Text of this Article]

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