Surgical Management of Shoulder and Knee Instability in Patients with Ehlers-Danlos Syndrome: Joint Hypermobility Syndrome

Clin Orthop Surg. 2020 Sep;12(3):279-285. doi: 10.4055/cios20103. Epub 2020 Aug 19.


Ehlers-Danlos Syndrome (EDS) is a hereditary disorder of the connective tissue, which has been classified into numerous subtypes over the years. EDS is generally characterized by hyperextensible skin, hypermobile joints, and tissue fragility. According to the 2017 International Classification of EDS, 13 subtypes of EDS have been recognized. The majority of genes involved in EDS are either collagen-encoding genes or genes encoding collagen-modifying enzymes. Orthopedic surgeons most commonly encounter patients with the hypermobile type EDS (hEDS), who present with signs and symptoms of hypermobility and/or instability in one or more joints. Patients with joint hypermobility syndrome (JHS) might also present with similar symptomatology. This article will focus on the surgical management of patients with knee or shoulder abnormalities related to hEDS/JHS.

Keywords: Ehlers Danlos syndrome; Joint hypermobility; Knee dislocation; Shoulder dislocation.

Publication types

  • Review

MeSH terms

  • Ehlers-Danlos Syndrome / surgery*
  • Humans
  • Joint Instability / congenital
  • Joint Instability / surgery*
  • Knee Joint / physiopathology
  • Knee Joint / surgery*
  • Shoulder Joint / physiopathology
  • Shoulder Joint / surgery*