Bharat Kumar, MD, Petar Lenert, MD, PhD 

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Joint Hypermobility Syndrome: Recognizing a Commonly Overlooked Cause of Chronic Pain  Bharat Kumar, MD, Petar Lenert, MD, PhD  The American Journal of Medicine  Volume 130, Issue 6, Pages 640-647 (June 2017) DOI: 10.1016/j.amjmed.2017.02.013 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 1 Maneuvers used to calculate the Beighton Score. The Beighton Score is calculated by adding the points obtained through each maneuvers, yielding a total maximum score of 9. A Beighton Score of 4 or higher is a major criterion for the Brighton Criteria (Figure 2). The American Journal of Medicine 2017 130, 640-647DOI: (10.1016/j.amjmed.2017.02.013) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 2 The Revised Brighton Criteria. In order to establish the diagnosis of joint hypermobility syndrome, the individual must satisfy any one of the following: 1) 2 major criteria; 2) 1 major and 2 minor criteria; 3) 4 minor criteria; or 4) 2 minor criteria and unequivocally affected first-degree relative in the family. Figure adapted from Grahame R, Bird HA, Child A. The revised (Brighton 1998) Criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). J Rheumatol. 2000;27(7):1777-1779.26 The American Journal of Medicine 2017 130, 640-647DOI: (10.1016/j.amjmed.2017.02.013) Copyright © 2017 Elsevier Inc. Terms and Conditions