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The different capsular patterns
The various capsular patterns
Capsular pattern Jaw
Increasing limitation of mouth opening.
Capsular pattern Cervical spine
Equal limitation of extension, both side flexions and both rotations. Flexion is the best movement.
Capsular pattern Shoulder
Limitation of abduction, more limitation of lateral rotation, less limitation of medial rotation.
Capsular pattern Elbow
Limitation of extension, more limitation of flexion.
Capsular pattern Lower radio-ulnar joint
Pain on passive pro- and supination, no limitation.
Capsular pattern Wrist
Equal limitation of flexion and extension.
Capsular pattern Trapezio-first metacarpal joint
Limitation of abduction and extension, no limitation of flexion.
Capsular pattern Thumb and finger joints
Flexion more limited than extension.
Capsular pattern Thoracic spine
Equal limitation of both rotations.
Capsular pattern Lumbar spine
Equal limitation of extension and both side flexions.
Capsular pattern Hip
Gross limitation of medial rotation and abduction ; flexion more limited than extension.
Capsular pattern Knee
Limitation of extension, more limitation of flexion.
Capsular pattern Ankle joint
Limitation of dorsiflexion, more limitation of plantiflexion.
Capsular pattern Talocalcanean joint
Increasing limitation of varus, in the end fixation in full valgus.
Capsular pattern Midtarsal joints
Limitation of dorsiflexion, plantiflexion, adduction and medial rotation ; no limitation of abduction and lateral rotation.
Capsular pattern First metatarsophalangeal joint
Limitation of plantiflexion with more limitation of dorsiflexion.
Capsular pattern II-V metatarsophalangeal joints
Variable. Fixation in extension with flexed IP-joints.
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