Loose Packed/Closed Packed Positions UE

Question 1

Vertebral

Answer 1

Loose: midway between flexion and extension (neutral_
Closed: maximal extension

Question 2

Temporomandibular

Answer 2

Loose: jaw slightly open
Closed: maximal retrusion (mouth closed and jaw clenched) or maximal anterior position mouth maximally opened

Question 3

Sternoclavicular

Answer 3

Loose: arm resting by side
Closed: arm maximally elevated

Question 4

Acromioclavicular

Answer 4

Loose: arm resting by side
Closed: arm abducted 90 degrees

Question 5

Glenohumeral

Answer 5

Loose: 55-70 degrees abduction, 30 degrees horizontal adduction, neutral rotation
Closed: maximal abduction and ER

Question 6

Humeroulnar

Answer 6

Loose: 70 flexion and 10 supination
Closed: full extension, full supination

Question 7

Humeroradial

Answer 7

Loose: full extension and supination
Closed: 90 flexion, 5 supination

Question 8

Proximal radioulnar

Answer 8

Loose: 70 flexion, 35 supination
Closed: 5 supination, full extension

Question 9

Distal radioulnar

Answer 9

Loose: full extension, 10 supination
Closed: 5 supination

Question 10

Radio/ulnocarpal

Answer 10

Loose: neutral with slight ulnar deviation
Closed: full extension with radial deviation

Question 11

midcarpal

Answer 11

Loose: neutral with slight flexion and ulnar deviation
Closed: full extension

Question 12

carpometacarpal

Answer 12

Loose: midway between flexion/extension
Closed: full opposition

Question 13

trapeziometacarpal

Answer 13

Loose: midway between flexion/extension
Closed: full opposition

Question 14

metacarpophalangeal (MCP)

Answer 14

Loose: first MCP – slight flexion; MCP 2-5 – slight flexion with ulnar deviation
Closed: first MCP – full extension; MCP 2-5 – full flexion

Question 15

interphalangeal (IP)

Answer 15

Loose: proximal IPs – 10 degrees flexion; Distal IPs – 30 degrees flexion
Closed: full extension