Table 3.

Brighton criteria for the joint hypermobility syndrome

Criteria
Major criteria
Beighton score ≥ 4/9
Arthralgia for > 3 months in > 4 joints
Minor criteria
Beighton score 1-3
Arthralgia in 1-3 joints
History of joint dislocations
Soft tissue lesions > 3
Marfan-like habitus
Skin striae, hyperextensibility, or scarring
Downslanting palpebral fissures, lid laxity, myopia
History of varicose veins, hernia, visceral prolapse
Agreement: Both major, or 1 major and 2 minor, or 4 minor criteria. Criteria major 1 and minor 1 are mutually exclusive as are major 2 and minor 2.
Source: Grahame et al. and subsequent modifications (see, for example, Tinkle et al.)