Benign Joint Hypermobility Syndrome

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Please use your clinical judgement and note that this is not necessarily standard practice in NZ.

Diagnosis

The diagnosis is made with the Brighton criteria (not to be confused with the Beighton score)

• Major Criteria
  • Beighton score of ≥ 4
  • Arthalgia for longer than 3 months in 4 or more joints
• Minor Criteria
  • Beighton score of 1, 2, or 3
  • Arthalgia (> 3 month duration) in one to three joints or back pain (> 3 month duration) or spondylosis, spondylolysis/spondylolisthesis
  • Dislocation or subluxation in more than one joint, or in one joint on more than one occasion
  • Three or more soft tissue lesions (eg, epicondylitis, tenosynovitis, bursitis)
  • Marfanoid habitus: tall, slim, arm span greater than height >1.03 ratio, upper segment less than lower segment <0.89 ratio, arachnodactyly
  • Skin striae, hyperextensibility, thin skin, or abnormal scarring
  • Ocular signs: drooping eyelids, myopia, antimongoloid slant
  • Varicose veins, hernia, or uterine or rectal prolapse
  • Mitral valve prolapse
• Requirements for diagnosis are any one of the following:
  • Two major criteria
  • One major plus two minor criteria
  • Four minor criteria
  • Two minor criteria and unequivocally affected first-degree relative in family history