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.