MSK Joint Capsular Patterns

Glenohumeral Joint (Shoulder)

ER > ABD > IR (3:2:1)

MLPP - 60° ABD, 35° Flex, Slight IR

Lumbar Spine

Ext > Bilateral SB > Flex

MLPP - Slight Flex

CPP - Ext

In Ext - coupled contralateral, combined ipsilateral

In Flex - coupled ipsilateral, combined contralateral

Tibiofemoral Joint (Knee)

Flex > Ext (6:1)

MLPP - 25-30° Flex

CPP - Ext

Cervical Spine

Bilateral Rotation + Sidebending > Ext > Flex

MLPP - Slight Flex

CPP - Ext

Upper Cervical (C0-C2) - Contralateral coupling

Lower Cervical (C2-C7) - Ipsilateral coupling

Coxofemoral Joint (Hip)

IR > Flex = ABD > Ext

MLPP - 25-30° Flex, 15° ABD, Slight ER

CPP - Ext, ABD, IR

Thoracic Spine

Bilateral Rotation + Sidebending > Ext

MLPP - Slight Flex

CPP - Ext

Upper Thoracic (T1-T4) - Ipsilateral coupling

Middle Thoracic (T4-T8) - Variable w/ men typically ipsilateral and women contralateral coupling

Lower Thracic (T8-T12) - In Ext: contralateral coupling, In flex: ipsilateral coupling

Talocrural Joint (Ankle)

PF > DF (2:1)

MLPP - 10° PF, Mid Inversion/Eversion

CPP - DF

Subtalar Joint

Varus/Inversion > Valgus/Eversion (3:1)

MLPP - 10° PF, Mid Inversion/Eversion

CPP - Inversion

Midtarsal Joints

Inversion > DF (2:1)

MLPP - 10° PF, Mid Inversion/Eversion

CPP - Inversion

Humeroradial / Humeroulnar / Proximal Radioulnar Joints (Elbow)

Flexion > Extension (4:1)

Flexion > Extension (4:1)

Supination > Pronation

MLPP - Extension, Full Supination

MLPP - 70° Flexion, 10° Supination

MLPP - 70° Flexion, 35° Supination

Radiocarpal / Ulnocarpal / Distal Radioulnar Joints (Wrist)

Flexion = Extension > Radial Devation = Ulnar Deviation

1st Carpometacarpal (Thumb)

Retroposition