PECULIAR FEATURES OF ARTICULAR PAIN SYNDROME IN GIRLS WITH CONNECTIVE TISSUE DYSPLASIA SIGNS

Aim. To detect the peculiar features of articular pain syndrome in girls with connective tissue dysplasia (CTD) signs as well as frequency of osteoarticular CTD signs n the group of patients with articular pain syndrome. Materials and methods. One hundred and thirty three girls with a mean age of 21,52 ± 1,86 years were investigated. All the examined patients were divided into two groups on the basis of articular pain syndrome available. Group 1 enclosed 11 persons without pain syndrome. Group 2 included 122 patients with articular pain syndrome. All the examined persons underwent anthropometric and phenotypical investigations aimed at revealing osteous and articular CTD manifestations. Results. In the group with articular pain syndrome, such diseases as scoliosis (71,3 %), longitudinal platypodia (46,7 %), funnelform thoracic deformation (4,91 %) and articular hypermobility (54,9 %) occur reliably more often. When analyzing the obtained data, it was stated that the most frequent localization of pain are the lumbar (25,51 %), thoracic (13,10 %), and cervical (12,41 %) parts of the vertebral column, the knee (20 %), hip (6,21 %), sacroiliac (5,51 %), ankle (4,82 %) joints. Pain arises while moving (71,83 %), in the day-time (65,51 %). “Mechanical” (64,71 %) and “inflammatory” (27,94 %) character of pain were the most frequent. Pain syndrome is characterized by a wave-like course without progression (34,72 %). The beginning of pain syndrome is in most cases acute (47,82 %) or chronic (45,62 %). Arthralgias start at the age of 17,26 ± 3,39 years.

Connective tissue dysplasia, scoliosis, platypodia, articular hypermobility, arthralgia