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Fifteen-minute consultation: A structured approach to the management of hypermobility in a child
  1. Eve M D Smith1,
  2. Athimalaipet V Ramanan2
  1. 1Paediatric Rheumatology Department, Great North Children's Hospital, Newcastle Upon Tyne, UK
  2. 2Paediatric Rheumatology Department, Bristol Royal Hospital for Children, Bristol, UK
  1. Correspondence to Dr A V Ramanan, Paediatric Rheumatology Department, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK; avramanan{at}


Objective To present a structured approach for an outpatient consultation of a child with hypermobility.

Method Review of the literature and a description of the approach commonly adopted in a paediatric out-patient setting.

Conclusions A focused history and examination is the key to reaching an appropriate differential diagnosis and planning management for children with hypermobility.

Case A 10-year-old child is referred to your general paediatric clinic with frequent ‘cracking and clicking’ of her joints and a history of intermittent aches and pains over the last 6 months.

  • General Paediatrics
  • Musculo-Skeletal
  • Rheumatology

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