title: Fifteen-minute consultation: A structured approach to the management of hypermobility in a child.
abstract: OBJECTIVE
  To present a structured approach for an outpatient consultation of a child with hypermobility.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
authors.affiliation: Paediatric Rheumatology Department, Great North Children's Hospital, , Newcastle Upon Tyne, UK.
authors.forename: Eve M D
authors.initials: EM
authors.lastname: Smith
authors.forename: Athimalaipet V
authors.initials: AV
authors.lastname: Ramanan
mesh_terms: D018771:Arthralgia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D008487:Medical History Taking; D010808:Physical Examination; D026741:Physical Therapy Modalities
keywords: General Paediatrics; Musculo-Skeletal; Rheumatology