Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review
Introduction Ehlers-Danlos Syndrome (EDS) is a group of connective tissue disorders, the essence of which are abnormalities in the function of collagen. One type of EDS with an unknown genetic basis is the hypermobile form of EDS (hEDS). hEDS manifests mainly in musculoskeletal defects, as well a...
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Nicolaus Copernicus University in Toruń
2024-12-01
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| Series: | Quality in Sport |
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| Online Access: | https://apcz.umk.pl/QS/article/view/56292 |
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| author | Jędrzej Jabłoński Filip Nadolny Martyna Kania Damian Grubski Hanna Bartkowiak Agnieszka Adamowska Kacper Ziarnik Alicja Śniatała |
| author_facet | Jędrzej Jabłoński Filip Nadolny Martyna Kania Damian Grubski Hanna Bartkowiak Agnieszka Adamowska Kacper Ziarnik Alicja Śniatała |
| author_sort | Jędrzej Jabłoński |
| collection | DOAJ |
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Introduction
Ehlers-Danlos Syndrome (EDS) is a group of connective tissue disorders, the essence of which are abnormalities in the function of collagen. One type of EDS with an unknown genetic basis is the hypermobile form of EDS (hEDS). hEDS manifests mainly in musculoskeletal defects, as well as chronic pain. There is extremely high need to correctly diagnose and then correctly treat patients with hEDS. Initially conservative treatment is used, but if patients fail to achieve relief, surgical treatment is considered.
Aim of the study
The purpose of the authors was to gather all the information regarding hEDS in terms of surgical treatment. The authors focused mainly on finding the advantages and disadvantages of the various methods and also on collecting information on the indications for choosing the given surgical methods.
Materials and methods
The methodology of the literature search involved using the keywords: „hypermobile Ehlers-Danlos syndrome”, „shoulder instability”, „joint hypermobility”, „chronic pain” and „Latarjet”. The search terms were entered into the PubMed database. References include systematic reviews, but also clinical trials, as well as case reports.
Conclusion
Currently available literature does not offer enough information to undertake standardized management of patients with hEDS. Not only is there a lack of studies on groups of patients with hEDS, but also on large groups of patients without hEDS, making it impossible to choose the best method based on the available clinical trials. Moreover, through the lack of such studies, it becomes impossible to truly assess whether patients with hEDS have a higher rate of surgical failure and thus a higher risk of inappropriate management of a specific patient with hEDS.
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| format | Article |
| id | doaj-art-cb871dd2bedc4d51ba958da8d86e419d |
| institution | DOAJ |
| issn | 2450-3118 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nicolaus Copernicus University in Toruń |
| record_format | Article |
| series | Quality in Sport |
| spelling | doaj-art-cb871dd2bedc4d51ba958da8d86e419d2025-08-20T02:49:30ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182024-12-013510.12775/QS.2024.35.56292Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic ReviewJędrzej Jabłoński0https://orcid.org/0009-0009-6204-407XFilip Nadolny1https://orcid.org/0009-0000-6433-5975Martyna Kania2https://orcid.org/0009-0006-4400-0258Damian Grubski3https://orcid.org/0009-0003-9501-9950Hanna Bartkowiak4https://orcid.org/0009-0000-6914-4908Agnieszka Adamowska5https://orcid.org/0009-0009-1977-2522Kacper Ziarnik6https://orcid.org/0009-0006-4676-3232Alicja Śniatała7https://orcid.org/0009-0003-8488-3268Regional Hospital in Poznań, Juraszów 7-19, 60-479 PoznańUniversity Hospital in Poznań Przybyszewskiego 49, 60-355 PoznańUniversity Hospital in Poznań Przybyszewskiego 49, 60-355 Poznań Józef Struś Multispecialist Municipal Hospital Szwajcarska 3, 61-285 PoznańJózef Struś Multispecialist Muncipal Hospital Szwajcarska 3, 61-285 PoznańJózef Struś Multispecialist Muncipal Hospital; Szwajcarska 3, 61-285 PoznańRegional Hospital in Poznan Juraszow 7/19 60-479 PoznanRegional Hospital in Poznań, Juraszów 7-19, 60-479 Poznań Introduction Ehlers-Danlos Syndrome (EDS) is a group of connective tissue disorders, the essence of which are abnormalities in the function of collagen. One type of EDS with an unknown genetic basis is the hypermobile form of EDS (hEDS). hEDS manifests mainly in musculoskeletal defects, as well as chronic pain. There is extremely high need to correctly diagnose and then correctly treat patients with hEDS. Initially conservative treatment is used, but if patients fail to achieve relief, surgical treatment is considered. Aim of the study The purpose of the authors was to gather all the information regarding hEDS in terms of surgical treatment. The authors focused mainly on finding the advantages and disadvantages of the various methods and also on collecting information on the indications for choosing the given surgical methods. Materials and methods The methodology of the literature search involved using the keywords: „hypermobile Ehlers-Danlos syndrome”, „shoulder instability”, „joint hypermobility”, „chronic pain” and „Latarjet”. The search terms were entered into the PubMed database. References include systematic reviews, but also clinical trials, as well as case reports. Conclusion Currently available literature does not offer enough information to undertake standardized management of patients with hEDS. Not only is there a lack of studies on groups of patients with hEDS, but also on large groups of patients without hEDS, making it impossible to choose the best method based on the available clinical trials. Moreover, through the lack of such studies, it becomes impossible to truly assess whether patients with hEDS have a higher rate of surgical failure and thus a higher risk of inappropriate management of a specific patient with hEDS. https://apcz.umk.pl/QS/article/view/56292Chronic painSurgeryLatarjethypermobile Ehlers-Danlos syndromeshoulder instabilityjoint hypermobility |
| spellingShingle | Jędrzej Jabłoński Filip Nadolny Martyna Kania Damian Grubski Hanna Bartkowiak Agnieszka Adamowska Kacper Ziarnik Alicja Śniatała Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review Quality in Sport Chronic pain Surgery Latarjet hypermobile Ehlers-Danlos syndrome shoulder instability joint hypermobility |
| title | Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review |
| title_full | Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review |
| title_fullStr | Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review |
| title_full_unstemmed | Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review |
| title_short | Surgical Treatment of the Glenohumeral Joint for Indications of Instability and Pain in Hypermobile Ehlers-Danlos Syndrome - Systematic Review |
| title_sort | surgical treatment of the glenohumeral joint for indications of instability and pain in hypermobile ehlers danlos syndrome systematic review |
| topic | Chronic pain Surgery Latarjet hypermobile Ehlers-Danlos syndrome shoulder instability joint hypermobility |
| url | https://apcz.umk.pl/QS/article/view/56292 |
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