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Table 5 Revised Ghent criteria: systemic feature score (adapted from Faivre L et al. [38])

From: When flexibility is not necessarily a virtue: a review of hypermobility syndromes and chronic or recurrent musculoskeletal pain in children

Table 2: Revised Ghent Criteria: Systemic features score
• Wrist AND thumb sign – 3 (Wrist OR thumb sign – 1)
• Pectus carinatum deformity – 2 (pectus excavatum or chest asymmetry – 1)
• Hindfoot deformity – 2 (plain pes planus – 1)
• Pneumothorax – 2
• Dural ectasia – 2
• Protrusio acetabuli – 2
• Reduced US/LS AND increased arm/height AND no severe scoliosis – 1
• Scoliosis or thoracolumbar kyphosis– 1
• Reduced elbow extension – 1
• Facial features (3/5) – 1 (dolichocephaly, enophtalmos, downslanting palpebral fissures, malar hyoplasia, retrognathia)
• Skin striae – 1
• Mitral valve prolapse (all types) – 1
• Myopia >3 diopters – 1
Maximum total: 20 points; score ≥7 indicates systemic involvement
  1. Bold numbers refer to the points to be scored for each finding