Brighton Criteria, Beighton Score, Hospital del Mar Criteria; assess joint hypermobility

Описание: — these three systems are all used to assess joint hypermobility, but they differ in scope, detail, and clinical application. Let’s break them down:

1. Beighton Score
Purpose: Simple bedside screening tool for generalized joint hypermobility.

Method: 9‑point scoring system based on 5 maneuvers:

Passive dorsiflexion of little finger greater than 90° (1 point each hand).

Passive apposition of thumb to forearm (1 point each hand).

Hyperextension of elbow greater than 10° (1 point each arm).

Hyperextension of knee Greater than 10° (1 point each leg).

Forward flexion of trunk with palms flat on floor (1 point).

Interpretation:

Adults: ≥5/9 indicates hypermobility.

Children/adolescents: ≥6/9.

Strengths: Quick, widely used, reproducible.

Limitations: Focuses only on a few joints, doesn’t assess symptoms or systemic features.

2. Brighton Criteria
Purpose: Broader diagnostic framework for Joint Hypermobility Syndrome (JHS), now often considered part of the hypermobile Ehlers–Danlos spectrum.

Components:

Major criteria:

Beighton score ≥4 (current or historical).

Arthralgia for greater than 3 months in ≥4 joints.

Minor criteria:

Beighton score 1–3.

Arthralgia in 1–3 joints or back pain greater than 3 months.

Dislocations/subluxations.

Soft tissue rheumatism (e.g., bursitis, tendonitis).

Marfanoid habitus.

Skin striae, hyperextensibility, thin skin.

Eye signs (drooping eyelids, myopia).

Varicose veins, hernia, uterine/rectal prolapse.

Diagnosis:

2 major criteria, OR

1 major + 2 minor, OR

4 minor.

Strengths: Considers systemic features and symptoms.

Limitations: More complex, less practical for quick screening.

3. Hospital del Mar Criteria
Purpose: Alternative scoring system developed in Spain to assess hypermobility more comprehensively.

Method: Evaluates 11 maneuvers across multiple joints (fingers, wrists, elbows, shoulders, hips, knees, ankles, spine).

Scoring: Each maneuver scored; higher total indicates greater hypermobility.

Strengths: Broader joint coverage than Beighton.



#hypermobility