Capsular Patterns (Loss of ROM)

Question 1

Shoulder

Answer 1

Maximum loss of external rotation
Moderate loss of abduction
Minimum loss of internal rotation

Question 2

Elbow Complex

Answer 2

Flexion loss is greater than extension loss

Question 3

Forearm

Answer 3

Full and painless

Equally restricted in pronation and supination in presence of elbow restriction

Question 4

Wrist

Answer 4

Equal restrictions in flexion and extension

Question 5

Hand

Answer 5

CMC joint 1 – Abduction and extension restriction

CMC joints 2-5 – equal restriction in all directions

Question 6

Upper Extremity Digits

Answer 6

Flexion loss is greater than extension loss

Question 7

Hip

Answer 7

Maximum loss of internal rotation, flexion and abduction

Minimal loss of extension

Question 8

Knee

Answer 8

Tibiofemoral Joint – flexion loss is greater than extension loss

Question 9

Ankle

Answer 9

Talocrual – plantarflexion loss is greater than dorsiflexion
Subtalar – restricted varus motion
Midtarsal – restricted dorsiflexion, plantarflexion, abduction, and medial rotation

Question 10

Lower Extremity Digits

Answer 10

MTP joint 1 – Extension loss is greater than flexion
MTP joints 2-5 – Variable, but tends towards loss of flexion
IP joints – tend towards extension restriction