Connective tissue dysplasia influence to musculoskeletal system dysfunction in athletes.

Mrs Tatyana Gurevich, mr Kirill Konovalenko, mr Kirillov, mr Mustafin, Mr Kozlov

In aspiration to achieve the success in any kind of sports, athlete forces himself to his own physical capabilities threshold excess, which quite often causes musculoskeletal system injuries. An injury depends on: physical activity mode, specifics of a training process, preparation period, qualification, age, morphological, anthropometrical, anatomic and functional specifics of athlete, start of concrete kind of sports specialization terms, sports experience. Nowadays most urgent are the issues of diagnostics and prediction of persons with phenotypic connective tissue dysplasia symptom complexes of cardiac as well as non-cardiac manifestation, including musculoskeletal dysfunction.

One of the typical connective tissue dysplasia manifestations is generalized hypermobility of joints. The first description of generalized hypermobility of joints was made by Kirk, Ansell и Bywaters. [16] in 1967. They offered the term of “hypermobility syndrome”, reflecting joints hypermobility syndrome phenomenon in combination with musculoskeletal dysfunction (incomplete dislocations, arthralgia). It became known later that generalized hypermobility of joints was associated with external phenotypic connective tissue dysplasia sings, similar to dysplasia markers in differentiated syndromes, thus hypermobility syndrome started to be considered as a nosological form. [1,14,17,18,19].

The main hypermobility clinical symptom is such musculoskeletal dysfunction as arthralgia (polyarthralgia), associated with physical activity. Most often knee and ankle joints are involved. In this case the cause of pain syndrome is basic joints load sensitivity and moderate orthopedic anomalies (hip joints dysplasia, longitudinal and cross flat-footedness). Recidivating incomplete dislocations (most often in ankle joints) are pretty typical for hypermobility syndrome. Foot deformation clinical manifestations in patients with hypermobility syndrome may be leading ones for their clinical importance degree among the other problems. Longitudinal, cross or combined flat-footedness is found out in 50-70% of persons with hypermobility syndrome. Quite often there are no symptoms or just unstable arthralgia in knee and ankle joints. [1,14,15,16,17,19].

Date: 2015-01-12; view: 1043