مشاركة
تقييم فرط مرونة المفاصل لدى المرضى العراقيين المصابين بمرض الفتق الاربي == Assessment of Joint Hypermobility in Iraqi Patients With Inguinal Hernia
اسم المؤلف:
وسيم كامل غيث
اسم المشرف:
فائق ايشو كوريال
الموضوع العام:
الطب
السنة:
2015
الموضوع الدقيق:
الامراض - المفاصل
الدرجة:
دبلوم عالي
الجامعة:
جامعة بغداد - كلية الطب
اللغة:
الانكليزية
مكان الجامعة:
بغداد
الصفحات الاولى:
19T1585 - p.pdf
المستخلص:
Joint hypermobility (JHM) is an excessive range of movement of the joint due to laxity of supporting connective tissue. Inguinal hernia is proposed due to weak supporting tissue that may be a clinical presentation of a more widespread problem of connective tissue.Objective : To assess JHM in Iraqi patients with inguinal hernia.Patients and methods : A total of 200 individuals were included in this study, 100 patients had inguinal hernia diagnosed by a surgeon based on clinical and abdominal ultrasound examination, and another 100 healthy individuals matched in age & sex were taken as a control group.A questionnaire paper consisted of personal data including : Age, sex, weight, height, and body mass index (BMI). The assessment of joint mobility was measured according to Beighton score method for all the participants in the study.Results : One hundred patients with inguinal hernia and 100 healthy control group, all of them were males. The mean age of patients was (35.5± 9.5) year and controls (33.2 ± 10.5) year. The mean BMI was (25.3 ± 3.1) kg/m2 for patients and (25.1 ± 3.8) kg/m2 for controls. No statistical significant difference between patients and controls (P>0.05).JHM was significantly more in inguinal hernia patients than in controls (55(55%) vs 20(20%), p<0.001, OR=4.9; 95% CI = 2.6 - 9.2). The total joint mobility score among inguinal hernia patients was significantly higher than controls and was associated with a higher risk of developing inguinal hernia. In addition JHM was significantly increased among older age and overweight patients (p<0.05).A multiple logistic regression model was statistically significant and able to predict the group membership with 64% accuracy. Having an average score for joint mobility (4 - 6) increased the risk of having inguinal hernia by 5.2 times compared to those with negative hypermobility (score<4). Increasing the joint mobility score further to (7 - 9) increased the risk of having inguinal hernia by 11.3 times compared to those with negative hypermobility (score<4) Conclusions : JHM was significantly more prevalent among Iraqi patients with inguinal hernia patients than controls. The total joint mobility score among inguinal hernia patients was higher than controls. A higher score for JHM was associated with a higher risk of developing inguinal hernia.JHM among older age and overweight patients may predict inguinal hernia.
