Table 1 Classification of hypermobility
Site | Criterion | Beighton | Bulbena |
|---|---|---|---|
Thumb | Apposition to forearm | x | x |
5th Metacarpophalangeal joint | Passive hyperextension > 90 degrees | x | x |
Elbow | Hyperextension > 10 degrees | x | x |
Knee hyperextension | Hyperextension > 10 degrees | x | |
Trunk | Flexion to place hands flat on floor with legs straight | x | |
Ankle | Dorsiflexion > 20 degrees | x | |
Shoulder | External rotation > 85 degrees | x | |
Hip | Passive abduction > 85 degrees | x | |
Patella | Passive shift to lateral side of tibia | x | |
1st Metatarsophalangeal joint | Passive hyperextension > 90 degrees | x | |
Knee flexion | Heel to contact buttocks | x | |
Ecchymoses | Presence after minimal trauma | x | |
Total point available | 9 | 10 | |
Score to determine hypermobility | 4 out of 9 | Males 5/10 | |
Females 6/10 |