The Shoulder

Capsular Patterns

Staging

In arthritis of the shoulder, three stages can be considered. They have a direct relationship to the degree of capsular irritation (severity of the arthritis).

The staging is done on four criteria:

• pain at rest
• nocturnal pain
• pain below the elbow
• endfeel

Remark: A clear distinction must be made between the degree of limitation of range and the stage. Limitation of movement and stage do not always fit. It is possible to find a pronounced degree of limited range in stage I or a subtle degree of limitation in stage III. It should therefore be emphasized that the degree of inflammation (staging) is only done on the four clinical criteria.

• Stage I: Minor degree of inflammation:

  No pain below the elbow	No nocturnal pain	Normal end-feel	No pain at rest

• Stage II: Moderate degree of irritation: Intermediate Stage

• Stadium III: Severe irritation

  Pain below the elbow	Nocturnal pain	Spastic endfeel	Pain at rest

Disorders

Definition

[Start]

[Main shoulder]

[Flowcharts shoulder]

[A System of Orthopaedic Medicine]

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