Capsular Patterns (All)

Question 1

Temporomandibular joint

Answer 1

Mouth opening

Question 2

Atlanto-Occipital

Answer 2

Extension & side flexion equal

Question 3

Cervical spine

Answer 3

Side flexion & rotation > extension

Question 4

Sternoclavicular

Answer 4

Pain at extreme ROM especially horizontal adduction and full elevation

Question 5

Glenohumeral

Answer 5

ER > abduction > IR

Question 6

Acromioclavicular

Answer 6

Pain at extreme ROM especially horizontal adduction and full elevation

Question 7

Ulnohumeral & Radiohumeral

Answer 7

Ulno: flexion > extension
Radio: flexion > extension > supination > pronation

Question 8

Proximal & distal radioulnar

Answer 8

Prox: supination & pronation equal
Distal: full ROM, extreme ROM

Question 9

Radiocarpal & midcarpal

Answer 9

Radio: flex & extend equal
Mid: flex & extend equal

Question 10

Carpometacarpal (fingers & thumb), trapeziometacarpal, metacarpophalangeal & interphalangeal

Answer 10

Carpometacarpal (fingers): equal in all dxns
Carpometacarpal (thumb): abduction > extension
Trapeziometacarpal: abduction > extension
Metacarpophalangeal: flex > extend
Interphalangeal: flex > extend

Question 11

Thoracic & lumbar spines

Answer 11

Side flexion & rotation equal > extension

Question 12

Sacroiliac, symphysis pubis, sacrococcygeal joints

Answer 12

Pain when joints are stressed

Question 13

Hip (interchangeable depending on case)

Answer 13

Flexion > abduction > IR

Question 14

Knee (tibiofemoral)

Answer 14

Flexion > extension

Question 15

Distal tibiofibular, talocrural, talocalcaneal (subtalar)

Answer 15

Tibiofibular: pain when joint is stressed
Talocrural: PF > DF
Subtalar: varus, valgus

Question 16

Midtarsal, tarsometatarsal, big toe, 2nd to 5th metatarsophalangeal, interphalangeal,

Answer 16

Midtarsal: DF > PF > adduction > IR
tarsometatarsal: none
big toe: extension > flexion
2-5 metatarsophalangeals: variable
interphalangeal: flex > extend