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"The Shoulder" Demo

Capsular Pattern

Definition:
The capsular pattern is a proportional limitation of the three passive scapulohumeral movements. There is some limitation of abduction, more limitation of external rotation and less limitation of internal rotation.

external rotation > abduction > internal rotation

Examples:
 

EXTERNAL ROTATION

ABDUCTION

INTERNAL ROTATION

SLIGHT CAPSULAR PATTERN

- 30

- 10

end of range

MODERATE CAPSUL. PATTERN

- 45

- 20 à 30

- 5 à 10

SEVERE CAPSULAR PATTERN

- 60 à 90

- 45

-15 à 30

Meaning
A capsular pattern always indicates a lesion of the joint, whatever its nature may be(= arthritis or capsulitis).
It may be either an acute synovitis or a chronic organised reaction of the fibrous capsule.

Disorders
Stage

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