Association between joint hypermobility, scoliosis, and cranial base anomalies in paediatric Osteogenesis imperfecta patients: a retrospective cross-sectional study

• Published in: BMC musculoskeletal disorders 2014-12, Vol.15 (1), p.428-428, Article 428
• Main Authors: Arponen, Heidi, Mäkitie, Outi, Waltimo-Sirén, Janna
• Format: Article
• Language: English
• Subjects: Adolescent; Bisphosphonates; Care and treatment; Child; Child, Preschool; Children & youth; Connective tissue; Cross-Sectional Studies; Female; Follow-Up Studies; Fractures; Hospitals; Humans; Infant; Infant, Newborn; Joint Instability - diagnosis; Joint Instability - epidemiology; Ligaments; Longitudinal Studies; Male; Medicin och hälsovetenskap; Musculoskeletal diseases; Orthopedics; Osteogenesis imperfecta; Osteogenesis Imperfecta - diagnosis; Osteogenesis Imperfecta - epidemiology; Pathology; Patients; Pediatrics; Retrospective Studies; Risk factors; Scoliosis; Scoliosis - diagnosis; Scoliosis - epidemiology; Skull Base - abnormalities; Skull Base - pathology; Standard scores
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/1471-2474-15-428

Joint hypermobility is a common clinical characteristic of patients with Osteogenesis imperfecta (OI), a disorder with serious comorbidities of scoliosis and cranial base anomalies. This study aimed at evaluating how prevalent joint hypermobility is in paediatric OI patients, and to find out whether it serves as a potential predictive marker of the different spinal complications; scoliosis and craniovertebral anomalies (basilar impression and basilar invagination). In this cross-sectional one-center study we analysed retrospectively clinical patient records and radiographs of 47 OI patients, aged 1-19 years, some of whom were treated with bisphosphonates. Presence of joint hypermobility, scoliosis, and craniovertebral anomalies was recorded and possible connections between the phenomena were explored with correlation analysis. Joint hypermobility was found in 70% of the patients. Scoliosis and cranial base anomalies had developed in 26%. The presence of spinal complications was independent of the bisphosphonate treatment status and joint hypermobility. Scoliosis and craniovertebral anomalies are strongly associated in paediatric OI patients. Joint hypermobility that is much more common appears, however, to be a poor predictor.