Table 2.
Hospital del Mar Score (10 items).
| Assessment site | Yes | No | |
|---|---|---|---|
| Upper extremity | Thumb: passive apposition of the thumb to the flexor aspect of the forearm at less than 21mm | 1 | 0 |
| Metacarpophalangeal: passive dorsiflexion of 5th finger of 90º or more | 1 | 0 | |
| Elbow hyperextension: passive extension of 10º or more | 1 | 0 | |
| External shoulder rotation: elbow flexed and upper arm touching the body, a passive rotation of 85º or more. | 1 | 0 | |
| Lower extremity Supine position |
Hip abduction: passive of 85º or more | 1 | 0 |
| Patellar hypermobility: defined as excessive passive displacement medially and laterally as assessed by three or more quadrants of displacement | 1 | 0 | |
| Ankle and Feet: Excessive range of passive ankle dorsiflexion and eversion of the foot with the knee flexed to 90º | 1 | 0 | |
| Metatarsophalangeal joint: hyperextension of the first toe beyond 90º | 1 | 0 | |
| Lower extremity Prone position |
Knee hyperflexion: defined as “passively the knee makes contact with the buttock” | 1 | 0 |
| Ecchymoses: appearance of ecchymoses after hardly noticed, minimal trauma (historical datum) | 1 | 0 | |
Score of 4 or more for men, and 5 or more for women, suggests the presence of generalized joint laxity.