SynthesisBMC musculoskeletal disorders2021
Joint hypermobility in athletes is associated with shoulder injuries: a systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 37 citations in OpenAlex.
- Association Between Changes in Shoulder Strength and Self-Reported Shoulder Symptoms in Patients With Hypermobility Following 16-Weeks of High-Load or Low-Load Exercise: A Secondary Analysis of an RCT.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Trial
- Generalized joint hypermobility and neck pain: Prevalence and functional correlates from a community-based sample.Clinical biomechanics (Bristol, Avon) · 2026Article
- Asymptomatic Abnormalities in the Knee, Shoulder, and Ankle Joints of Collegiate Athletes: A Cross-Sectional MRI-Based Comparative Study.Diagnostics (Basel, Switzerland) · 2026Article
- The impact of general joint hypermobility on ankle ligament stiffness in young women: a shear wave elastography investigation.BMC musculoskeletal disorders · 2026Article
- A clinical epidemiological study of musculoskeletal injury occurrence and orthopedic management patterns among individuals with hypermobility spectrum disorders.SAGE open medicine · 2026Article
- Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review.Archives of rehabilitation research and clinical translation · 2025Review
- The relationship between subjective shoulder discomfort and quantitative humeral head translation in baseball players; cross-sectional study.BMC sports science, medicine & rehabilitation · 2025Article
- Molecular Pathogenesis of Joint Hypermobility: The Role of Intergenic Interactions.Medical sciences (Basel, Switzerland) · 2025Article
- Associations between flexibility, stretching habits, and spine injuries in professional golfers: a nationwide, cross-sectional study.Journal of orthopaedic surgery and research · 2025Article
- Outcome measures for assessing change in children with hypermobility-associated conditions and chronic lower limb musculoskeletal pain: a Delphi survey of international health professions.Clinical rheumatology · 2025Review
- [Research progress on pathological changes of glenohumeral capsule in patients with recurrent shoulder anterior dislocation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Predictive Utility of the Functional Movement Screen and Y-Balance Test: Current Evidence and Future Directions.Sports (Basel, Switzerland) · 2025Review
- Impact of Physiotherapy on Shoulder Kinematics in Swimmers with Swimmer's Shoulder Pain.Sensors (Basel, Switzerland) · 2024Article
- The Effectiveness of Conservative Interventions on Pain, Function, and Quality of Life in Adults with Hypermobile Ehlers-Danlos Syndrome/Hypermobility Spectrum Disorders and Shoulder Symptoms: A Systematic Review.Archives of rehabilitation research and clinical translation · 2024Review
- Predisposing Anatomy for Thoracic Outlet Syndrome and Functional Outcomes after Supraclavicular Thoracic Outlet Decompression in Athletes.Vascular specialist international · 2024Article
- Suggestions and Considerations for Application of Movement Screens to Clinical Practice.International journal of sports physical therapy · 2024Article
- Assessing construct validity of the Beighton Score as a measure of generalized joint hypermobility in varsity athletes.The Journal of the Canadian Chiropractic Association · 2023Article
- Testing the association between shoulder pain prevalence and occupational, physical activity, and mental health factors in two generations of Australian adults.Chiropractic & manual therapies · 2023Article
- Pediatric joint hypermobility: a diagnostic framework and narrative review.Orphanet journal of rare diseases · 2023Review
- Untangling risk factors including discipline-specific exposure for injuries in preprofessional and professional circus artists in the USA.BMJ open sport & exercise medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundJoint hypermobility in athletes is associated with increased risk of knee injuries, but its role in relation to shoulder injuries has not been scrutinized. Therefore, our aim was to synthesize the evidence on the association between joint hypermobility and shoulder injuries in athletes.
methodsData sources were MEDLINE, CINAHL, EMBASE, and SPORTDiscus from inception to 27th February 2021. Eligibility criteria were observational studies of athletes (including military personnel), mean age ≥ 16 years, and with a transparent grouping of those with and without joint hypermobility. A broad definition of joint hypermobility as the exposure was accepted (i.e., generalised joint hypermobility (GJH), shoulder joint hypermobility including joint instability). Shoulder injuries included acute and overuse injuries, and self-reported pain was accepted as a proxy for shoulder injuries. The Odds Ratios (OR) for having shoulder injuries in exposed compared with non-exposed athletes were estimated using a random effects meta-analysis. Subgroup analyses were performed to explore the effect of sex, activity type, sports level, study type, risk of bias, and exposure definition. Risk of bias and the overall quality of evidence were assessed using, respectively, the Newcastle-Ottawa Scale and the Grading of Recommendations Assessment, Development and Evaluation (GRADE).
resultsAmong 6207 records, six studies were included with 2335 (range 118-718) participants (34.1% females; athlete mean age 19.9 years). Athletes with joint hypermobility were more likely to have shoulder injuries compared with athletes without joint hypermobility (OR = 3.25, 95% CI 1.64, 6.43, I
conclusionJoint hypermobility in athletes is associated with a threefold higher odds of having shoulder injuries, highlighting the need for prevention strategies in this population. However, due to low quality of evidence, future research will likely change the estimated strength of the association. PROTOCOL REGISTRATION: Open Science Framework registration osf.io/3wrn9.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.