Bulbena et al evaluated the different criteria for the diagnosis of joint hypermobility. The essential elements were combined into a new scale. The authors are from the Hospital del Mar in Barcelona, Spain.
|
Parameters (10) |
Finding |
|
thumb |
passive apposition of the thumb to the flexor aspect of the forearm, separated by < 21 mm |
|
metacarpophalangeal |
with the palm of the hand resting on the table, the fifth finger can be passively dorsiflexed >= 90° |
|
elbow hyperextension |
passive hyperextension >= 10° |
|
external shoulder rotation |
with the upper arm touching the body and with the elbow flexed to 90°, the forearm is taken in external rotation up to >85° of the sagittal plane (shoulder to shoulder line) |
|
hip abduction |
in the supine position, passively abducted to >= 85° |
|
rotular hypermobility |
in the supine position and with the proximal end of the tibia held in one hand, the rotula (patella) can be moved well to the sides with the other hand |
|
ankle and foot hypermobility |
in the supine position, excessive passive dorsiflexion of the ankle and eversion of the foot |
|
metatarsophalangeal |
in the supine position, dorsal flexion of the toe over the diaphysis of the first metatarsal to >= 90° |
|
knee hyperextension |
in the prone position, the heel can make contact with the buttock |
|
ecchymoses |
bruising after minimal trauma |
total score =
= SUM(number of findings present)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score, the greater the joint mobility.
• For men, joint hypermobility was defined with a score >= 4.
• For women, joint hypermobility was defined with a score > =5.
Purpose: To evaluate a patient's joint mobility using the Hospital del Mar criteria.
Specialty: Surgery, orthopedic
Objective: criteria for diagnosis
ICD-10: M35.7,
