Evaluation of pediatric generalized joint hypermobility (pGJH) and pediatric generalized hypermobility spectrum disorder (pgHSD)

* Refer to content on clinical manifestations and diagnosis of hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder.

¶ Defined as having ≥2 of the following: episodic activity-related pain that is not chronic in frequency or duration; recurrent joint dislocations, recurrent atraumatic joint subluxations, and/or subluxation on physical examination in >1 joint; and 1 major (requiring surgical repair) and/or current multiple tears of minor tendons and/or ligaments.

Δ Defined as having ≥1 of the following: chronic primary pain, chronic fatigue, functional gastrointestinal disorders, functional bladder disorders, primary dysautonomia, anxiety.