Joint Capsular Patterns

Question 1

TMJ

Answer 1

limited mouth opening

Question 2

occipitoatlantal joint

Answer 2

forward flexion limited greater than extension

Question 3

atlantoatlantal joint

Answer 3

limitation with rotation

Question 4

lower cervical spine (C3-T2)

Answer 4

limitation of all motions except flexion (side-bending rotation equally limited and both greater than extension)

Question 5

GH Joint

Answer 5

greater limitations of ER, followed by abduction and internal rotation

Question 6

SC Joint

Answer 6

full elevation limited; pain at extreme ranges of motion

Question 7

AC Joint

Answer 7

full elevation limited; pain at extreme ranges of motion

Question 8

Humeroulnar

Answer 8

loss of flexion more than extension

Question 9

Humeroradial

Answer 9

losso of flexion more than extension

Question 10

proximal AND distal radioulnar

Answer 10

pronation equally limited to supination

Question 11

wrist

Answer 11

limitation: flexion = extension

Question 12

midcarpal

Answer 12

limitation equal in all directions

Question 13

trapeziometacarpal

Answer 13

limitation: abduction moreso than extension

Question 14

carpometacarpals 2-V

Answer 14

equally restricted all directions

Question 15

upper extremity digits

Answer 15

limitation: flexion greater than extension

Question 16

T-spine

Answer 16

limitation of side bending and rotation is greater than loss of extension, is greater than loss of flexion

Question 17

Lumbar spine

Answer 17

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

Question 18

SI, symphysis pubis, and sacrococcygeal

Answer 18

pain when joints are stressed

Question 19

Hip

Answer 19

limited flexion/internal rotation; some limitations of abduction; no or little limitations of adduction and ER

Question 20

Knee

Answer 20

flexion grossly limited; slight limitation of extension

Question 21

tibiofibular (proximal and distal)

Answer 21

pain when joint is stressed

Question 22

talocrural

Answer 22

loss of plantar flexion greater than dorsiflexion

Question 23

talocalcaneal (subtalar)

Answer 23

increasing limitations of varus; joint fixed in valgus (inversion>eversion)

Question 24

midtarsal

Answer 24

supination > pronation (limited DF, PF, adduction, and medial rotation)

Question 25

1st MTP

Answer 25

marked limitation of extension; slight limitation of flexion

Question 26

IP (toes)

Answer 26

tend toward extension restrictions