Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2005 Sep;39(9):628–631. doi: 10.1136/bjsm.2004.015271

Hypermobility and sports injuries in junior netball players

R Smith 1, A Damodaran 1, S Swaminathan 1, R Campbell 1, L Barnsley 1
PMCID: PMC1725309  PMID: 16118300

Abstract

Objective: To evaluate the incidence of hypermobility in young female netball players and to determine the relation between hypermobility, previous injuries sustained in netball or other sports, and the use of protective equipment.

Methods: Under 16 year old female netball players from a local suburban netball association were assessed for joint hypermobility using the validated Beighton score (0–9, with higher scores indicating increasing hypermobility). Player profiles and details of sporting injuries, both netball and non-netball, and the use of protective equipment were gathered by means of a self completed questionnaire. Parental and child consent was obtained.

Results: Two hundred netball players were recruited for the study. Twenty one percent of the subjects with a Beighton hypermobility score of 0–2 had sustained previous netball injuries compared with 37% with Beighton scores of 3–4, and 43% with scores of 5–9. These differences were significant (p<0.025). Injuries were most common in the ankle (42%), knee (27%), and fingers (15%). Thirty nine players (19%) wore protective equipment, and within this group 30 (77%) had sustained previous injuries. No association was detected between hypermobile joints and non-netball sporting injuries.

Conclusions: In this study hypermobility was significantly associated with an increased prevalence of injuries in junior netball players. A targeted interventional approach may help to reduce injuries in this susceptible group.

Full Text

The Full Text of this article is available as a PDF (62.1 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arendt-Nielsen L., Kaalund S., Bjerring P., Høgsaa B. Insufficient effect of local analgesics in Ehlers Danlos type III patients (connective tissue disorder). Acta Anaesthesiol Scand. 1990 Jul;34(5):358–361. doi: 10.1111/j.1399-6576.1990.tb03103.x. [DOI] [PubMed] [Google Scholar]
  2. Arroyo I. L., Brewer E. J., Giannini E. H. Arthritis/arthralgia and hypermobility of the joints in schoolchildren. J Rheumatol. 1988 Jun;15(6):978–980. [PubMed] [Google Scholar]
  3. Bird Howard A. Rheumatological aspects of dance. J Rheumatol. 2004 Jan;31(1):12–13. [PubMed] [Google Scholar]
  4. Biro F., Gewanter H. L., Baum J. The hypermobility syndrome. Pediatrics. 1983 Nov;72(5):701–706. [PubMed] [Google Scholar]
  5. Boyle Kyndall L., Witt Philip, Riegger-Krugh Cheryl. Intrarater and Interrater Reliability of the Beighton and Horan Joint Mobility Index. J Athl Train. 2003 Dec;38(4):281–285. [PMC free article] [PubMed] [Google Scholar]
  6. Finsterbush A., Pogrund H. The hypermobility syndrome. Musculoskeletal complaints in 100 consecutive cases of generalized joint hypermobility. Clin Orthop Relat Res. 1982 Aug;(168):124–127. [PubMed] [Google Scholar]
  7. Hall M. G., Ferrell W. R., Sturrock R. D., Hamblen D. L., Baxendale R. H. The effect of the hypermobility syndrome on knee joint proprioception. Br J Rheumatol. 1995 Feb;34(2):121–125. doi: 10.1093/rheumatology/34.2.121. [DOI] [PubMed] [Google Scholar]
  8. Hardin J. A., Voight M. L., Blackburn T. A., Canner G. C., Soffer S. R. The effects of "decelerated" rehabilitation following anterior cruciate ligament reconstruction on a hyperelastic female adolescent: a case study. J Orthop Sports Phys Ther. 1997 Jul;26(1):29–34. doi: 10.2519/jospt.1997.26.1.29. [DOI] [PubMed] [Google Scholar]
  9. Jónsson H., Valtýsdóttir S. T., Kjartansson O., Brekkan A. Hypermobility associated with osteoarthritis of the thumb base: a clinical and radiological subset of hand osteoarthritis. Ann Rheum Dis. 1996 Aug;55(8):540–543. doi: 10.1136/ard.55.8.540. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Kirk J. A., Ansell B. M., Bywaters E. G. The hypermobility syndrome. Musculoskeletal complaints associated with generalized joint hypermobility. Ann Rheum Dis. 1967 Sep;26(5):419–425. doi: 10.1136/ard.26.5.419. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Larsson L. G., Baum J., Mudholkar G. S. Hypermobility: features and differential incidence between the sexes. Arthritis Rheum. 1987 Dec;30(12):1426–1430. doi: 10.1002/art.1780301216. [DOI] [PubMed] [Google Scholar]
  12. Magnusson S. P., Julsgaard C., Aagaard P., Zacharie C., Ullman S., Kobayasi T., Kjaer M. Viscoelastic properties and flexibility of the human muscle-tendon unit in benign joint hypermobility syndrome. J Rheumatol. 2001 Dec;28(12):2720–2725. [PubMed] [Google Scholar]
  13. Mallik A. K., Ferrell W. R., McDonald A. G., Sturrock R. D. Impaired proprioceptive acuity at the proximal interphalangeal joint in patients with the hypermobility syndrome. Br J Rheumatol. 1994 Jul;33(7):631–637. doi: 10.1093/rheumatology/33.7.631. [DOI] [PubMed] [Google Scholar]
  14. Mishra M. B., Ryan P., Atkinson P., Taylor H., Bell J., Calver D., Fogelman I., Child A., Jackson G., Chambers J. B. Extra-articular features of benign joint hypermobility syndrome. Br J Rheumatol. 1996 Sep;35(9):861–866. doi: 10.1093/rheumatology/35.9.861. [DOI] [PubMed] [Google Scholar]
  15. van der Giessen L. J., Liekens D., Rutgers K. J., Hartman A., Mulder P. G., Oranje A. P. Validation of beighton score and prevalence of connective tissue signs in 773 Dutch children. J Rheumatol. 2001 Dec;28(12):2726–2730. [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES