Closed Packed/Open Packed Flashcards
(23 cards)
Open Packed Position
least joint congruence, minimal stress, most soft tissue laxity
Closed Packed Position
most joint congruence, maximal stress, least soft tissue laxity
Facet
Open: neutral
Closed: extension
TMJ
Open: slightly opened
Closed: clenched teeth
Glenohumeral
Open: 55 degrees abduction, 30 degrees horizontal adduction
Closed: full abduction and ER
AC Joint
Open: arm at side
Closed: 90 degrees abduction
Sternoclavicular
Open: arm at side
Closed: max shoulder elevation
Ulnohumeral
Open: 70 degrees flexion, 10 degrees supination
Closed: extension
Radiohumeral
Open: max extension and supination
Closed: 90 degrees flexion, 5 degrees supination
Proximal Radioulnar
Open: 70 degrees flexion, 35 degrees supination
Closed: 5 degrees supination
Distal Radioulnar
Open: 10 degrees supination
Closed: 5 degrees supination
Radiocarpal
Open: neutral with slight ulnar deviation
Closed: extension and radial deviation
Carpometacarpal (thumb)
Open: neutral (midway between abd/add and flex/ext)
Closed: opposition
Metacarpophalangeal (fingers)
Open: slight flexion
Closed: full flexion
Interphalangeal
Open: slight flexion
Closed: extension
Hip
Open: 30 degrees flexion, 30 degrees abduction, flight ER
Closed: full extension and IR
Knee
Open: 25 degrees flexion
Closed: full extension, ER rotation
Talocrural
Open: 10 degrees pf, neutral inversion and eversion
Closed: max df
Subtalar
Open: midway between extremes
Closed: supination
Midtarsal
Open: midway between extremes
Closed: supination
Tarsometatarsal
Open: midway between extremes
Closed: supination
Metatarsalphalangeal
Open: neutral
Closed: extension
Interphalangeal
Open: slight flexion
Closed: extension
