Exam

Generalized Joint Hypermobility Diagnosis

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Generalized Joint Hypermobility Diagnosis, Beighton Hypermobility Score, Beighton Score, Five Point Hypermobility Questionnaire

See Also

Beighton Hypermobility Score
Marfan Syndrome
Ehlers-Danlos Syndrome (EDS)

Criteria
Beighton Score Exam - One Point for each of 9 criteria

Passively dorsiflex fifth metacarpophalangeal joint (MCP joint) >90 degrees
1. Score 1: Right Side
2. Score 1: Left Side
Oppose thumb to volar Forearm
1. Score 1: Right Side
2. Score 1: Left Side
Hyperextend elbow >10 degrees
1. Score 1: Right Side
2. Score 1: Left Side
Hyperextend knee >10 degrees
1. Score 1: Right Side
2. Score 1: Left Side
Bend forward with knees fully extended, and place hands flat on floor
1. Score 1: Bend Forward

Criteria
Five Point Hypermobility Questionnaire (adjunctive if inadequate points on exam)

Can you place your hands flat on floor without bending your knees (now or ever in past)?
Can you bend your thumb to touch your Forearm (now or ever in past)?
As a child, could you do "splits" or contort your body into strange shapes?
As a child or teen, did your Shoulder or knee cap (Patella) dislocate more than one time?
Do you consider yourself double jointed?

Interpretation
Generalized Joint Hypermobility Diagnosis

Prepubertal children or teens
1. Beighton Score >= 6 or
2. Beighton Score >= 5 AND two or more questions positive on Five Point Questionnaire
Postpuberty teens to age 50 years old
1. Beighton Score >= 5 or
2. Beighton Score >= 4 AND two or more questions positive on Five Point Questionnaire
Age over 50 years old
1. Beighton Score >= 4 or
2. Beighton Score >= 3 AND two or more questions positive on Five Point Questionnaire

Resources

Assessing Joint Hypermobility (Ehlers Danlos Society)
1. https://www.ehlers-danlos.com/assessing-joint-hypermobility/

References