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Hypermobility
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Last year marked the 80th anniversary of the first
report of an association between hypermobility and articular
manifestations by Finkelstein1 and this year the 30th
anniversary since the definitive description of the hypermobility
syndrome (HMS) by Kirk, et al.2 In the years since these
landmark publications much has been written about hypermobility and
reports can broadly be categorised as those dealing with its
epidemiology, measurement, clinical associations, and the mechanisms
causing them. Despite this our understanding of the role of
hypermobility in articular and extra-articular manifestations remains
confused. Agreement on a standard method of measurement has yet to be
reached and proposed associations continue to be debated. It is perhaps
timely to review the current status in the light of the conflicting
reports, to highlight the importance of consistency in measurement and methodology so that valid comparisons can be made between studies, and
to speculate on new developments that may
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