Musculoskeletal: Upper Extremity Capsular Patterns of Restriction

Question 1

Glenohumeral Joint

Answer 1

• Greatest=External Rotation
• Abduction
• Internal Rotation

Question 2

Sternoclavicular Joint

Answer 2

• Full elevation limited

- Pain at extreme end range of motion

Question 3

Acromioclavicular Joint

Answer 3

• Full elevation limited

- Pain at extreme end range of motion

Question 4

Humeroulnar Joint

Answer 4

• Loss of flexion greater than loss of extension

Question 5

Humeroradial Joint

Answer 5

• Loss of flexion greater than loss of extension

Question 6

Proximal Radioulnar

Answer 6

• Equal limitation between pronation and supination

Question 7

Distal Radioulnar

Answer 7

• Equal limitation between pronation and supination

Question 8

Wrist

Answer 8

• Equal limitation between flexion and extension

Question 9

Midcarpal

Answer 9

• Equal limitation in all directions

Question 10

Trapezoidmetacarpal

Answer 10

• Abduction greatest limitation

- Extension

Question 11

Carpometacarpals II-IV

Answer 11

• Equally restricted in all directions

Question 12

Upper Extremity Digits

Answer 12

• Flexion limitation greater than extension

Question 13

Hip

Answer 13

• Flexion
• Internal Rotation
• Abduction
• No adduction or ER

Question 14

Knee

Answer 14

• Flexion more limited

- Some limitation to extension possible

Question 15

Tibiofibular

Answer 15

• Pain when joint is stressed

Question 16

Talocrural

Answer 16

• Plantarflexion greatest

- Some loss of Dorsiflexion

Question 17

Talocalcaneal

Answer 17

• Inversion greatest
• Some Eversion
• Increasing limitations of varus
• Joint becomes fixed in valgus

Question 18

Midtarsal

Answer 18

• Supination>Pronation

Question 19

First Metatarsophalangeal

Answer 19

• Marked limitation of extension

- Slight limitation to flexion

Question 20

Metatarsophalangeal II-IV

Answer 20

• Variable, tend toward flexion

Question 21

Interphalangeal

Answer 21

• Tend toward extension restrictions

Question 22

Thoracic Spine

Answer 22

• Limitation of sIde bending and rotation greatest
• Then loss of extension
• Then loss of flexion

Question 23

Lumbar Spine

Answer 23

• Loss of side bending and rotation greatest and equal
• Then loss of extension
• Then loss of flexion

Question 24

SI/Symphesis pubis/sacrococcygeal

Answer 24

• Pain when joints are stressed

Question 25

TMJ

Answer 25

• Limited mouth opening

Question 26

Occipitoatlantal Joint

Answer 26

• Flexion limited greater than extension

Question 27

Atlantoatlantal Joint

Answer 27

• Limitation with rotation

Question 28

Lower Cervical spine

Answer 28

• Limitation of all motions except flexion
• Side bending and rotation both restricted equally
• Extension least restricted