Table 2.

Brighton's diagnostic criteria for hypermobility syndrome.

Major Criteria
Beighton score 4/9 or greater (either currently or historically)
Arthralgia for longer than 3 months in 4 or more joints
Minor criteria
Beighton score of 1–3/9 (0–3 if aged 50+)
Arthralgia in 1–3 joints or back pain or spondylosis, spondylolisthesis
Dislocation in more than 1 joint, or in 1 joint or more on more than 1 occasion
Three or more soft tissue lesions (e.g., epicondylitis, tenosynovitis, bursitis)
Marfanoid habitus (tall, slim, span>height, upper segment : lower segment ratio <0.89, Arachodactyly)
Skin striae, hyperextensibility, thin skin or abnormal scarring
Eye signs: drooping eyelids or myopia or antimongoloid slant
Varicose veins or hernia or uterine/rectal prolapse
Mitral valve prolapse (by echocardiography)
HMS diagnosis requires
Two major criteria or
One major + two minor criteria or
Four minor criteria or
Two minor criteria and unequivocally affected first-degree relative

HMS is excluded by the presence of marfan or Ehlers-Danlos Syndromes.