Loose and Closed Packed Positions of Joints

Question 1

Vertebral loose packed position

Answer 1

midway between flexion and extension

Question 2

Vertebral closed pack position

Answer 2

max extension

Question 3

tempomanibular loose packed position

Answer 3

jaw slightly opened

Question 4

tempomanibular closed packed position

Answer 4

max retrusion (mouth closed and teeth clenched) or max anterior position with mouth slightly opened

Question 5

sternoclavicular loose packed position

Answer 5

arm resting by side

Question 6

sternoclavicular closed packed position

Answer 6

arm maximally elevated

Question 7

acromioclavicular loose packed position

Answer 7

arm resting by side

Question 8

acromioclavicular closed packed position

Answer 8

arm abducted to 90 degrees

Question 9

glenohumeral loose packed position

Answer 9

55-70 degrees abduction, 30 degrees horizontal adduction, neutral roation

Question 10

glenohumeral closed packed position

Answer 10

max abduction and ER

Question 11

Elbow humeroulnar open packed position

Answer 11

70 degrees flexion and 10 degrees supination

Question 12

elbow humeroulnar closed packed position

Answer 12

full extension and supination

Question 13

elbow humeroradial open packed position

Answer 13

full extension and supination

Question 14

elbow humeroradial closed packed position

Answer 14

90 degrees flexion and 5 degrees supination

Question 15

forearm proximal radioulnar loose packed position

Answer 15

70 degrees flexion and 35 degrees supination

Question 16

forearm proximal radioulnar closed packed position

Answer 16

5 degrees supination and full extension

Question 17

forearm distal radioulnar loose packed position

Answer 17

10 degrees supination

Question 18

forearm distal radioulnar closed packed position

Answer 18

5 degrees supination

Question 19

radioulnar carpal loose packed position

Answer 19

neutral with slight ulnar deviation

Question 20

radioulnar carpal closed packed position

Answer 20

full extension and radial deviation

Question 21

hand midcarpal loose packed position

Answer 21

neutral with slight flexion and ulnar deviation

Question 22

hand midcarpal closed packed position

Answer 22

full extension

Question 23

hand carpometacarpal 2-5 loose packed position

Answer 23

midway between flexion and extension

Question 24

hand carpometacarpal 2-5 closed packed position

Answer 24

full oppoisition

Question 25

trapeziometacarpal loose packed position

Answer 25

midway between flexion and extension and between abduction and adduction

Question 26

trapeziometacarpal closed packed position

Answer 26

full opposition

Question 27

metacarpalphalangeal loose packed position

Answer 27

first mcp: slight flexion | MCP 2-5: slight flexion and ulnar deviation

Question 28

metacarpalphalangeal closed packed position

Answer 28

first MCP: full extension | MCP 2-5: full flexion

Question 29

interphalangeal loose packed position

Answer 29

proximal IP: 10 degrees flexion | Distal IP: 30 degrees flexion

Question 30

interphalangeal closed packed position

Answer 30

full extension

Question 31

Hip loose packed position

Answer 31

30 degrees flexion 30 degrees abduction slight lateral rotation

Question 32

Hip closed packed position

Answer 32

ligamentous: full extension, abduction, IR bony: 90 degrees flexion, slight abduction, slight ER Full extension and ER

Question 33

Knee Loose packed position

Answer 33

25 degrees knee flexion

Question 34

Talocrural loose packed position

Answer 34

mid inversion/ eversion and 10 degrees PF

Question 35

Talocrural closed packed position

Answer 35

Full DF

Question 36

Subtalar loose packed position

Answer 36

midway between extremes of ROM with 10 degrees PF

Question 37

Subtalar closed packed position

Answer 37

Full innversion

Question 38

Midtarsal loose packed position

Answer 38

midway between extremes of ROM with 10 degrees PF

Question 39

Midtarsal closed packed position

Answer 39

full supination

Question 40

tarsometatarsal loose packed position

Answer 40

midway beteen supination and pronation

Question 41

tarsometatarsal closed packed position

Answer 41

full supination

Question 42

metatarsal phalangeal loose packed position

Answer 42

neutral (extension 10 degrees)

Question 43

metatarsal phalangeal closed packed position

Answer 43

full extension

Question 44

interphalangeal loose packed position

Answer 44

slight flexion

Question 45

interphalangeal closed packed position

Answer 45

full extension