This quiz is intended for children and adolescents between the ages of 5 and biological maturity - approximately age 18.

Important Update on Pediatric Joint Hypermobility Diagnosis: Due to a May 2023 update in diagnostic frameworks, the Hypermobile Ehlers Danlos Syndrome (hEDS) diagnosis have been replaced with Pediatric Generalized Joint Hypermobility (pGJH) or Pediatric Generalized Hypermobility Spectrum Disorder (pgHSD). It's important to note that many healthcare providers may be aware of these changes. Read more about the new diagnostic framework and consider bringing a copy to your appointment for a more informed discussion.

Additionally, some practitioners still reference very outdated terms like "benign joint hypermobility.” A provider using outdated terminology is likely also behind on the most effective treatment plans. Seeking care from providers knowledgeable about the latest developments in the field may be beneficial for ensuring the best care and support for your child.

1. Does the child or adolescent have generalized joint hypermobility? No Yes
Generalized joint hypermobility is defined as a Beighton Score of 6 or more. However, children may also have hypermobility in joints that are not measured by the Beighton Score. Each symptomatic joint should be properly assessed and managed.


2. Does the child or adolescent have musculoskeletal complications? No Yes
Episodic activity-related pain that is not chronic in frequency or duration (for example, acute onset intermittentent musculoskeletal pain), Recurrent joint dislocations, recurrent joint subluxations in the absence of trauma, and/or frank subluxation on physical exam in more than one joint, and/or Soft tissue injuries — one major (needing surgical repair) and/or current multiple minor tendon and/or ligament tears.

3. Does the child or adolescent have comorbidities? No Yes
Comorbidities are defined as: Chronic primary pain, Chronic fatigue, Functional gastrointestinal disorders, Functional bladder disorders, Primary dysautonomia, and/or Anxiety

4. Does the child or adolescent have skin and tissue involvement? No Yes
Skin and tissue involvement is defined as: Unusually soft skin, Mild skin hyperextensibility, Unexplained stretch marks, Atrophic scarring, Bilateral piezogenic papules of the heel, and/or Recurrent hernia or hernia in more than one site.

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