Joint Mobilizations

Question 1

Glenohumeral Joint

Answer 1

Convex humoral head moves on concave genius fossa
LPP: 55 abd, 30 horiz. Add.
CPP: abduction, ER
Capsular pattern: ER, abduction, IR

Question 2

Sternoclavicular Joint

Answer 2

Saddle Joint (3 degrees of freedom) : elevation/ depression =convex on concave ;
Protraction/ retraction = concave on convex
LPP: arm resting by side
CPP: max shoulder elevation
Capsular pattern: pain at extreme ROM

Question 3

AC Joint

Answer 3

Concave on convex
LPP: arm at side
CPP: arm abd. 90
Capsular pattern: pain at extreme ROM

Question 4

Proximal Radiohumeral

Answer 4

Concave radial head on Convex capitulum (humerus)
LPP: full extension, supination
CPP: 90 degrees flexion, 5 degrees supination
Capsular pattern: flexion, extension, supination, pronation

Question 5

Humeroulnar joint

Answer 5

concave olecranon fossa on Convex trochlea
LPP: elbow flex 70, supination 10
CPP: extension
Capsular pattern: flexion, extension

Question 6

Proximal radioulnar joint

Answer 6

Convex radial head on Concave radial notch of ulna
LPP: 70 elbow flexion, 35 supination
CPP: 5 supination
Capsular pattern: supination, pronation

Question 7

Distal radioulnar joint

Answer 7

Concave ulnar notch of radius on convex head of ulna
LPP: forearm supination 10
CPP: 5 degrees supination

Question 8

Radiocarpal joint

Answer 8

Concave distal radius on convex proximal row of carpal bones (scaphoid, lunate, triquetrum)
LPP: neutral with slight ulnar deviation
CPP: extension with radial deviation
Capsular pattern: flexion and extension equal

Question 9

Distal phalanx joints (fingers)

Answer 9

Concave on convex

Question 10

Metacarpal phalangeal joints (proximal phalanx)

Answer 10

Concave on convex

Question 11

Iliofemoral joint

Answer 11

Convex femoral head on concave acetabulum
LPP: 30 flexion, 30 abduction, slight ER
CPP: full extension, IR
Capsular pattern: flexion, abduction, IR

Question 12

Finio femoral joint

Answer 12

Convex distal femur on concave proximal tibia
LPP: 25 flexion
CPP: full extension, ER
Capsular pattern: flexion, extension

Question 13

Patellofemoral joint

Answer 13

Convex patella on concave trochlear groove (femur)

Superior glide with extension, inferior glide with flexion

Question 14

Proximal Tibiofibular joint

Answer 14

Concave tibia on convex fibula

Question 15

Talocrural joint

Answer 15

Convex talus on concave mortise (tib and fib)
LPP: 10 degrees PF, midway between max inversion and eversion
CPP: max DF
Capsular pattern: PF, DF

Question 16

Subtalar joint (talocalcaneal)

Answer 16

Convex calcaneus on concave talus (posterior compartment)
LPP: midway between extreme rom
CPP: supination
Capsular pattern: limitation of Varus ROM

Question 17

Midtarsal joint

Answer 17

LPP: midway between extremes
CPP: supination
Capsular pattern: DF, PF, addiction, IR