Table 2.

Beighton criteria

Major criteria

A Beighton score of 4/9 or greater (either currently or historically) Arthralgia for longer than 3 months in 4 or more joints

Minor criteria A Beighton score of 1, 2, or 3/9 (0, 1, 2, or 3 if aged 50 years or older) Arthralgia (> 3 months) in 1 to 3 joints or back pain (> 3 months), spondylosis, spondylolysis/ spondylolisthesis Dislocation in more than 1 joint or in 1 joint on more than one occasion Three or more soft tissue lesions (e.g., epicondylitis, tenosynovitis, bursitis) Marfanoid habitus (tall, slim, span/height ratio > 1.03, upper segment/lower segment ratio less than 0.89, arachnodactyly) 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

Joint hypermobility syndrome is diagnosed as the presence two major criteria, one major and two minor criteria, or four minor criteria. Two minor criteria suffice if there is an unequivocally affected first-degree relative (constructed from reference 5)