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Questions and Answers
What is the capsular pattern of the glenohumeral joint?
What is the capsular pattern of the glenohumeral joint?
- Medial rotation, abduction, adduction
- Lateral rotation, abduction, medial rotation (correct)
- Medial rotation, lateral rotation, extension
- Lateral rotation, adduction, flexion
What is the capsular pattern of the cervical spine?
What is the capsular pattern of the cervical spine?
- Flexion and extension equally limited, lateral flexion
- Lateral flexion and rotation equally limited, flexion
- Lateral flexion most limited followed by rotation and extension
- Lateral flexion and rotation equally limited, extension (correct)
What is the capsular pattern of restriction of the ulnohumeral joint?
What is the capsular pattern of restriction of the ulnohumeral joint?
- Extension > flexion > external rotation
- Flexion > abduction > extension
- Extension > flexion
- Flexion > extension (correct)
What is the capsular pattern of restriction of the knee joint?
What is the capsular pattern of restriction of the knee joint?
The greatest anticipated range of motion restriction in a patient with a capsular limitation at the glenohumeral joint would be:
The greatest anticipated range of motion restriction in a patient with a capsular limitation at the glenohumeral joint would be:
The greatest anticipated range of motion restriction in a patient with a capsular limitation at the proximal radioulnar joint would be?
The greatest anticipated range of motion restriction in a patient with a capsular limitation at the proximal radioulnar joint would be?
What is the capsular pattern for the talocrural joint?
What is the capsular pattern for the talocrural joint?
Which condition would be most likely to contribute to a capsular pattern?
Which condition would be most likely to contribute to a capsular pattern?
What movements are commonly restricted with the capsular pattern of the hip?
What movements are commonly restricted with the capsular pattern of the hip?
Which pattern of restriction would indicate a capsular pattern at the radiocarpal joint?
Which pattern of restriction would indicate a capsular pattern at the radiocarpal joint?
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Study Notes
Glenohumeral Joint
- Capsular pattern: lateral rotation, abduction, medial rotation.
- Common condition: Adhesive capsulitis, characterized by restrictions in lateral rotation and abduction.
Cervical Spine
- Capsular pattern: lateral flexion and rotation equally limited, extension.
- Close packed position: full extension.
- Loose packed position: midway between flexion and extension.
Ulnohumeral Joint
- Capsular pattern: flexion > extension.
- Indicates that elbow flexion restrictions exceed those of elbow extension.
- A sign of possible pathology relating to the joint capsule.
Knee Joint
- Capsular pattern: flexion > extension.
- Shows knee flexion is more restricted than knee extension.
- Potential indication of joint capsule-related pathology.
Proximal Radioulnar Joint
- Greatest restriction: supination.
- Capsular pattern reflects limitations in both pronation and supination, with supination being the most affected.
Talocrural Joint
- Capsular pattern: plantar flexion restricted greater than dorsiflexion.
- Restriction indicates capsule pathology and may elicit pain, leading to muscle inhibition of motion.
Ligamentous Adhesions
- Most likely to contribute to a capsular pattern.
- Adhesions restrict motion by making affected ligaments less extensible, leading to pain and functional limitations.
Hip Joint
- Capsular pattern: flexion, abduction, medial rotation.
- The hip joint is formed by the convex femur head and concave acetabulum.
Radiocarpal Joint
- Capsular restriction indicated by: flexion and extension equally limited.
- Represents a specific sign of capsular involvement at the radiocarpal joint.
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