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    Hypermobile joints

    Joint hypermobility; Loose joints; Hypermobility syndrome

    Hypermobile joints are joints that move beyond the normal range with little effort. Joints most commonly affected are the elbows, wrists, fingers, and knees.

    Considerations

    Children are often more flexible than adults, but those with hypermobile joints can flex and extend their joints beyond what is considered normal. The movement is done without too much force and without discomfort.

    Thick bands of tissue called ligaments help hold joints together and keep them from moving too much or too far. In children with hypermobility syndrome, those ligaments are loose or weak. This may lead to:

    • Arthritis, which may develop over time
    • Dislocated joints, which is a separation of two bones where they meet at a joint
    • Sprains and strains

    Children with hypermobile joints also often have flat feet.

    Causes

    Hypermobile joints often occur in otherwise healthy and normal children. This is called benign hypermobility syndrome.

    Rare medical conditions associated with hypermobile joints include:

    • Cleidocranial dysostosis
    • Down syndrome
    • Ehlers-Danlos syndrome
    • Marfan syndrome
    • Morquio syndrome

    Home Care

    There is no specific care for this condition. Persons with hypermobile joints have an increased risk for joint dislocation and other problems.

    Extra care may be needed to protect the joints. Ask your health care provider for recommendations.

    When to Contact a Medical Professional

    Call your health care provider if:

    • A joint suddenly appears misshapen
    • An arm or leg suddenly does not move properly
    • Pain occurs when moving a joint
    • The ability to move a joint suddenly changes or decreases

    What to Expect at Your Office Visit

    Hypermobile joints often occur with other symptoms that, taken together, define a specific syndrome or condition. A diagnosis is based on a family history, medical history, and a complete physical exam. The exam includes a close look at our muscles and bones.

    The doctor or nurse will ask questions about the symptoms, including:

    • When did you first notice the problem?
    • Is it getting worse or more noticeable?
    • Are there any other symptoms, such as swelling or redness around the joint?
    • Is there any history of joint dislocation, difficulty walking, or difficulty using the arms?

    Further tests may be done.

    References

    Krakow D. Heritable diseases of connective tissue. In: Firestein GS, Budd RC, Harris ED Jr., et al, eds. Kelley's Textbook of Rheumatology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 105.

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    • Hypermobile joints

      illustration

      • Hypermobile joints

        illustration

      A Closer Look

        Self Care

          Tests for Hypermobile joints

            Review Date: 11/12/2012

            Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

            The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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