Brighton criteria

Major Beighton score of ≥4, either now or in the past Joint pain in ≥4 joints for ≥3 months

Minor Beighton score 1–3 (or 0–3 if over 50 years) Joint pain for longer than 3 months in one to three joints Back pain, spondylosis or spondylolisthesis for ≥3 months Dislocating/subluxating >1 joint or the same joint more than once Having ≥3 injuries to soft tissues, such as tenosynovitis or bursitis Marfanoid habitus Abnormal skin, such as thin/stretchy skin Eye symptoms, such as droopy eyelids or myopia Varicose veins Hernia Rectal or uterine prolapse

Beighton score Passive apposition of thumb to the flexor aspect of forearm (one point for each hand) Passive dorsiflexion of the fifth finger >90° (one point for each hand) Hyperextension of the elbow >10° (one point for each hand) Hyperextension of the knees >10° (one point for each leg) Forward flexion of the trunk with the knees extended and palms resting flat on the floor

According to the Brighton criteria, JHS may be diagnosed if you have: Two major criteria One major criteria and two minor criteria Four minor criteria Two minor criteria and a close relative, such as a parent, who has been diagnosed with JHS