Benign hypermobility syndrome: a case report

Joint hypermobility is a connective tissue disorder commonly seen in childhood and adolescence. The Beighton hypermobilty score is an easy and practical method to determine joint laxity and hypermobility. Some major and minor criteria based on symptoms and objective signs (arthralgia, back pain, spondylosis, spondylolysis/lystesis, dislocation/subluxation, scoliosis, soft tissue rheumatism, marfanoid habitus, skin hyperextensibility, ocular symptoms, varicose veins, hernia, uterine/rectal prolapse) have been determined for diagnosis of benign hypermobility syndrome.
A 13 year-old female presented with long-standing complaints of anterior knee pain which increased at night in particular, also pain and stiffness in her pain. She was of thin and tall phenotype. İn her medical history, frequent ankle sprains were reported. İn her physical examination  determined dropping eyelids, myofascial tender points in the trapezius muscle, hyperextensible elbows, wrists, thumbs, metacarpophalangeal and knee joints and moisture on palmar aspect of the hands. Laboratory parameters and conventional radiographic observations were normal.
In benign hypermobility syndrome, clumsiness, motor retardation, poor coordination, recurrent joint sprains and limited school-based activities may be seen in the history and examination. Delayed diagnosis may lead to poor control of pain, limitations in home-life, schooling and daily activities. We recommend to patient to use joint protective methods, to make modifications in daily life, to avoid heavy physical activities and use pain-relief medication.