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. 2020 Aug 19;12(3):279–285. doi: 10.4055/cios20103

Table 3. Diagnostic Criteria for Joint Hypermobility Syndrome.

Major criteria Minor criteria
1. Beighton score of ≥ 4/9 1. Beighton score of 1, 2, or 3
2. Arthralgia for > 3 2. Arthralgia of ≥ 3 months in 1 to 3 joints months in ≥ 4 joints or back pain of ≥ 3 months; spondylosis, spondylolysis, spondylolisthesis
3. Dislocation/subluxation in > 1 joint or in 1 joint on > 1 occasion
4. Soft-tissue rheumatism in ≥ 3 lesions (e.g., epicondylitis, tenosynovitis, and bursitis)
5. Marfanoid habitus (tall, slim, span: height ratio of > 1.03, upper : lower segment ratio of < 0.89, arachnodactyly)
6. Abnormal skin: striae, hyperextensibility, thin skin, papyraceous scarring
7. Eye signs: drooping eyelids or myopia or antimongoloid slant
8. Varicose veins, hernias, or uterine/rectal prolapse