Open AccessSurgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome
Author(s) -
Andrew Homere,
Ioanna K Bolia,
Tristan Juhan,
Alexander E. Weber,
George F. Rick Hatch
Publication year - 2020
Publication title -
clinics in orthopedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.002
H-Index - 34
eISSN - 2005-4408
pISSN - 2005-291X
DOI - 10.4055/cios20103
Subject(s) - joint hypermobility , ehlers–danlos syndrome , hypermobility (travel) , medicine , connective tissue disorder , joint instability , knee joint , connective tissue , surgery , pathology , physical therapy
Ehlers-Danlos Syndrome (EDS) is a hereditary disorder of the connective tissue, which has been classified into numerous subtypes over the years. EDS is generally characterized by hyperextensible skin, hypermobile joints, and tissue fragility. According to the 2017 International Classification of EDS, 13 subtypes of EDS have been recognized. The majority of genes involved in EDS are either collagen-encoding genes or genes encoding collagen-modifying enzymes. Orthopedic surgeons most commonly encounter patients with the hypermobile type EDS (hEDS), who present with signs and symptoms of hypermobility and/or instability in one or more joints. Patients with joint hypermobility syndrome (JHS) might also present with similar symptomatology. This article will focus on the surgical management of patients with knee or shoulder abnormalities related to hEDS/JHS.