When examining passive movement, In addition to evaluating the end feel, the examiner must look at the pattern of joint restriction.
If the capsule of the joint is affected, the pattern of limitation is the feature that indicates the presence of a capsular pattern in the joint.
The presence of this capsular pattern does not indicate the type of joint involvement; only an analysis of the end feel can do that.
sacroiliac and distal tibiofibular joints do not exhibit a capsular pattern.
When examining passive movement, In addition to evaluating the end feel, the examiner must look at the pattern of joint restriction.
If the capsule of the joint is affected, the pattern of limitation is the feature that indicates the presence of a capsular pattern in the joint.
The presence of this capsular pattern does not indicate the type of joint involvement; only an analysis of the end feel can do that.
sacroiliac and distal tibiofibular joints do not exhibit a capsular pattern.
When examining passive movement, In addition to evaluating the end feel, the examiner must look at the pattern of joint restriction.
If the capsule of the joint is affected, the pattern of limitation is the feature that indicates the presence of a capsular pattern in the joint.
The presence of this capsular pattern does not indicate the type of joint involvement; only an analysis of the end feel can do that.
sacroiliac and distal tibiofibular joints do not exhibit a capsular pattern.
radiohumeral Flexion, extension, supination, pronation Proximal (superior) Supination, pronation equally limited radioulnar Radiocarpal (wrist) Flexion and extension equally limited Talocalcaneal (subtalar) Limitation of range of movement (varus, valgus) Tarsometatarsal None Second to fifth Variable metatarsophalangeal Carpometacarpal (fingers) Equal limitation in all directions Metacarpophalangeal and Flexion, extension interphalangeal Lumbar spine Side flexion and rotation equally limited, extension Cervical spine Side flexion and rotation equally limited, extension Distal tibiofibular Pain when joint stressed Hip† Flexion, abduction, medial rotation (but in some cases medial rotation is most limited) Proximal (superior) Supination, pronation equally limited radioulnar Midcarpal Equal limitation of flexion and extension Temporomandibular Limitation of mouth opening Atlanto-occipital Extension, side flexion equally limited Common Capsular Patterns of Joints
Acromioclavicular Pain at extreme of range of movement, Sternoclavicular especially horizontal adduction and full elevation Radiohumeral Flexion, extension, supination, pronation Distal radioulnar Full range of movement, pain at extremes of rotation Intercarpal None Carpometacarpal (thumb) Abduction, extension Trapeziometacarpal Abduction, extension Thoracic spine Side flexion and rotation equally limited, extension Sacroiliac, symphysis Pain when joints are stressed pubis, and sacrococcygeal Knee (tibiofemoral) Flexion, extension Talocrural Plantar flexion, dorsiflexion Midtarsal Dorsiflexion, plantar flexion, adduction, medial rotation First metatarsophalangeal Extension, flexion (big toe) Interphalangeal Flexion, extension
Reference:
Orthopedic Physical Assessment (Orthopedic Physical Assessment (Magee)) 6th Edition by David J. Magee BPT