Original Research
2022 March
Volume : 10 Issue : 1

Comparison of joint hypermobility in general and orthopaedic clinic population in south India

Gollamudi S, Jitta S, Kakarla SV, Yalamanchili RK, Kambhampati SBS

Pdf Page Numbers :- 1-6

Srikanth Gollamudi1,*, Sadhana Jitta2, Santosh Vihari Kakarla3, Ranjith Kumar Yalamanchili4, and Srinivas BS Kambhampati5


1Consultant Orthopaedic Surgeon, Al-Seef Hospital, Salmiya, Kuwait

2Brockville General Hospital, Ontario, ON K6V 1S8, Canada

3Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad, Telangana-500003, India

4Departmentof Orthopaedics, ESIC Medical College, Sanath Nagar, Hyderabad, Telangana-500038, India

5Sri Dhaatri Orthopaedic, Maternity and Gynaecology Centre, Vijayawada, Andhra Pradesh- 520008, India


*Corresponding author: Dr. Srikanth Gollamudi, Consultant Orthopaedic Surgeon, Al- Seef Hospital, Salmiya, Kuwait. drgollamudi@gmail.com


Received 20 October 2021; Revised 6 December 2021; Accepted 21 December 2021; Published 29 December 2021


Citation: Gollamudi S, Jitta S, Kakarla SV, Yalamanchili RK, Kambhampati SBS. Comparison of joint hypermobility in general and orthopaedic clinic population in south India. J Med Sci Res. 2022; 10(1):1-6. DOI: http://dx.doi.org/10.17727/JMSR.2022/10-1


Copyright: © 2022 Gollamudi S et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

View Full Text | PDF


Background: Generalised joint hypermobility (GJH) is associated with musculoskeletal symptoms. Beighton score is universally used to measure hypermobility and the cut off score of ≥4 is quoted in literature to define GJH. No data exists on the prevalence of GJH in patients attending orthopaedic outpatients in India.

Materials and methods: The objective of this study was to compare the prevalence of GJH in the general versus orthopaedic patients. 406 patients attending a wellness clinic and 1780 patients attending orthopaedic outpatient clinic in a large private hospital in south India were scored for hypermobility using Beighton score. The mean age of the cohorts attending the wellness clinic and orthopaedic clinic was 33.47± 11.63 years and 36.37± 9.36 years respectively. There were more males than females recruited in the orthopaedic clinic.

Results: The wellness group had significantly higher numbers in the 20 to 39 year age range compared to the orthopaedic group (p value <0.00001). There was a significantly higher proportion of zero Beighton score in the orthopaedic group (p value <0.00001). The proportion of people with Beighton score 4-9 in the wellness and orthopaedic groups were 33% and 3.3% respectively. The proportion of GJH with Beighton score 5-9 was 16% and 2% in the wellness and orthopaedic groups respectively.

Conclusions: This is the only study, to the best of our knowledge, to have attempted to compare GJH prevalence in orthopaedic patients with a control group. The prevalence of GJH is significantly higher in the general population than the orthopaedic out-patients. Beighton score is simple to perform and must be included in the management of every orthopaedic patient.


Keywords: Beighton score; generalised joint hypermobility; musculoskeletal