Capsular Patterns

Question 1

Temporomandibular

Answer 1

Limited mouth opening

Question 2

Occipitoatlantal joint

Answer 2

Forward flexion limited greater than extension

Question 3

Atlantoaxial

Answer 3

Limitation with rotation

Question 4

Lower cervical spine

Answer 4

Limits all but flexion. Side bending=rotation > extension

Question 5

Glenohumeral

Answer 5

Greater limitation of external rotation > abduction > internal rotation

Question 6

Sternoclavicular

Answer 6

Full elevation limited, pain at extreme range of motion

Question 7

Acromioclavicular

Answer 7

Full elevation limited, pain at extreme range of motion

Question 8

Humeroulnar

Answer 8

Loss of flexion more than extension

Question 9

Humeroradial

Answer 9

Loss of flexion more than extension

Question 10

Proximal radioulnar

Answer 10

Limitation: pronation = supination

Question 11

Distal radioulnar

Answer 11

Limitation: supination = pronation

Question 12

Wrist

Answer 12

Limitation: flexion = extension

Question 13

Midcarpal

Answer 13

Limitation equal in all directions

Question 14

Trapeziometacarpal

Answer 14

Limitation: abduction > extension

Question 15

Carpometacarpals 2-5

Answer 15

Equally restricted all directions

Question 16

Upper extremity digits

Answer 16

Limitations of flexion > extension

Question 17

Thoracic spine

Answer 17

Limitation of side bending and rotation > loss of extension > flexion

Question 18

Lumbar spine

Answer 18

Marked and equal limitation of side bending and rotation; loss of extension > flexion

Question 19

Sacroiliac, symphysis pubis, sacrococcygeal

Answer 19

Pain when joints stressed

Question 20

Hip

Answer 20

Limited flexion/ internal rotation; some limitation of abduction; no or little limitation of adduction and external rotation

Question 21

Knee

Answer 21

Flexion grossly limited, slight limitation of extension

Question 22

Tibiofibular

Answer 22

Pain when joint stressed

Question 23

Talocrural

Answer 23

Loss of plantar flexion greater than dorsiflexion

Question 24

Talocalcaneal (Subtalar)

Answer 24

Increasing limitations of varus, joint fixed in vagus (inversion > eversion)

Question 25

Midtarsal

Answer 25

Supination > pronation (limited dorsiflexion, plantar flexion, adduction and medial rotation)

Question 26

First Metatarsophalangeal

Answer 26

Marked limitation of extension; slightly limitation of flexion

Question 27

Metatarsophalangeal 2-5

Answer 27

Variable, tend toward flexion restrictions

Question 28

Interphalangeal

Answer 28

Tend toward extension restrictions