Research Article

Prevalence of Joint Hypermobility and Patterns of Articular Manifestations in Patients with Inflammatory Bowel Disease

Table 2

Brighton’s diagnostic criteria for hypermobility syndrome.

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

Minor criteria
Beighton score of 1–3/9 (0–3 if aged )
Arthralgia in 1–3 joints or back pain or spondylosis, spondylolisthesis
Dislocation in more than 1 joint, or in 1 joint or more on more than 1 occasion
Three or more soft tissue lesions (e.g., epicondylitis, tenosynovitis, bursitis)
Marfanoid habitus (tall, slim, span height, upper segment : lower segment ratio 0.89, Arachodactyly)
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
Mitral valve prolapse (by echocardiography)

HMS diagnosis requires
Two major criteria or
One major two minor criteria or
Four minor criteria or
Two minor criteria and unequivocally affected first-degree relative

HMS is excluded by the presence of marfan or Ehlers-Danlos Syndromes.