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Beighton scoring of joint laxity and injury incidence in Middle Eastern male youth athletes: a cohort study
  1. Abdallah Rejeb1,2,
  2. Francois Fourchet3,
  3. Olivier Materne1,
  4. Amanda Johnson1,
  5. Cosmin Horobeanu1,
  6. Abdulaziz Farooq1,
  7. Erik Witvrouw2,
  8. Rodney Whiteley1
  1. 1 Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
  2. 2 Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
  3. 3 Hopital de la Tour, Meyrin, Switzerland
  1. Correspondence to Abdallah Rejeb; abdallah.rajeb{at}


Objectives To examine the association between generalised joint laxity (GJL) and injury rates in Middle Eastern male youth athletes.

Design Prospective observational study consisting of GJL screen and injury audit (season 2009/2010).

Setting Aspire Sports Academy Doha, Qatar.

Participants A total of 226 adolescent male athletes (mean age: 14.2 years; SD: 1.7; range: 10–18) involved in 15 sporting activities were grouped into contact and non-contact sports. All available athletes were included in this study.

Outcome measures A seasonal injury audit, athletes’ anthropometric characteristics, for example, weight, height and body mass index and screen for GJL to determine Beighton Score (BS).

Results The 226 athletes sustained 596 injuries and 75% reported at least one injury over a seasonal injury audit. Players in contact sports were injured more often than players in non-contact sports (more frequent injuries than injury-free time in contact sports; 127 days (95% CI 93 to 160) vs 176 days in non-contact sports (95% CI 118 to 234) (p<0.001). Survival analysis showed that gradient BS was not associated with injury HR=1.004 (95% CI 0.95 to 1.06) in the overall cohort. However, BS was associated with a greater injury risk in contact sports (HR: 1.29; 95% CI 1.05 to 1.59; p=0.015).

Conclusion Greater GJL, defined by gradient BS, plus involvement in contact sports together influence injury risk in youth athletes. Preseason documentation of GJL scoring should be considered specifically for contact sports as injury pre-emptive measure.

  • adolescent
  • sporting injuries
  • sports analysis in different types of sports

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  • Contributors AR designed and developed the research question and wrote the original version of the manuscript. RW designed the study. AJ was involved in study design. AF supervised and provided expertise with respect to the data analyses. RW, EW, FF, OM and CH reviewed and provided expertise to the study. All authors have contributed to and edited the manuscript and have approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Ethics approval The study received ethical approval by Shafallah Medical Genetics Center, Qatar.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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