Joint Mobility Evaluation in Patients with Inguinal Hernias
Journal Title: Antropomotoryka. Journal of Kinesiology and Exercise Sciences - Year 2006, Vol 16, Issue 35
Abstract
Introduction. Modern theories on the etiopathogenesis of hernias include ultrastructural abnormalities of the connective tissue, resulting from gene-derived molecular alterations in the structure of collagen fibers and the expression of proteolytic enzymes decomposing the tissue. Connective tissue also forms the structure of joints and is responsible for their mobility, therefore a general weakening of the connective tissue could be expressed as joint hypermobility. The coexistence of joint hypermobility and hernias can be seen in Ehlers - Danlos and Marfan syndromes, as well as in experimental studies on lathyrism. Some authors have also described the coexistence of hernias and benign joint hypermobility in adults showing no signs of the aforementioned syndromes. Other reports deny such coincidence, therefore an attempt to assess this phenomenon in the population of Poland was undertaken.Aim. To assess joint mobility of patients hospitalized for inguinal hernia compared to healthy controls and to verify the hypothesis of higher incidence of joint hypermobility in patients with primary hernias.Materials and methods. The study group included 30 patients (28 m, 2 f) undergoing surgery for primary inguinal hernia. The control group consisted of patients undergoing treatment for diseases other than hernia, not influencing body motorics. All patients underwent preoperative testing by Sachse, Weichman, Gomolka essays and the results were statistically analyzed by the Mann - Whitney qualitative test.Results. No evidence of increased incidence of benign joint hypermobility was observed in the hernia group. On the contrary - the controls showed greater joint mobility than the study group.
Authors and Affiliations
Wojciech Szczęsny, Irena Bułatowicz, Stanisław Dąbrowiecki
Keywords
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