If there is a serious damage of structures which influence an isolated movement in the glenohumeral articulation, then a gradual restriction of motility at all levels of the movement in the glenohumeral articulation happens. But some movements are restricted earlier or rather more, some later and less, so we meet a capsule pattern when we find out the gradual restriction of the extension of the movement in a sequence typical for the affection of the structures in the area of the glenohumeral articulation. We find out the restriction of the movement at the examination of active and passive motility.
at first an outer rotation is restricted
later abduction and flexion is restricted (to the same degree)
finally we meet also a restriction of an inner rotation at the examination
This conclusion can to be used at the examination of the extension of the movement for common ambulatory practice. In the case of pathology of the glenohumeral articulation, it is not necessary to examine extensions of all the movements, but only those ones where the pathology is manifested first and most expressively.
videosequence – outer rotation
videosequence – abduction
At the examination of the isolated movement a finding of the
restricted outer rotation and abduction testifies to an affection of the
structures in the area of the glenohumeral articulation, and development of the
affection will be described by watching of
these two paremetres.