MSK End Feels, Open/Closed Packed

Question 1

Soft end feel

What?
Normal or Pathological?

Answer 1

Occurs with soft tissue approximation

Normal

Question 2

Firm

What?
Normal or Pathological?

Answer 2

Capsular and ligamentous stretching

Normal

Question 3

Hard

What?
Normal or Pathological?

Answer 3

Bone and/or cartilage meet

Normal

Question 4

Boggy

What?
Normal or Pathological?

Answer 4

Edema/jt swelling

Pathological

Question 5

Firm with decreased elasticity

What?
Normal or Pathological?

Answer 5

Fibrosis of soft tissues

Pathological

Question 6

Rubbery

What?
Normal or Pathological?

Answer 6

Muscle spasm

Pathological

Question 7

Empty

What?
Normal or Pathological?

Answer 7

Loose, then very hard; associated with muscle guarding or pt avoiding painful part of range
Pathological

Question 8

Hypermobility

What?
Normal or Pathological?

Answer 8

End-feel at later time than on opposite side

Pathological

Question 9

Vertebral

Open Packed?
Close Packed?

Answer 9

O: Midway between flexion/extension
C: Maximal extension

Question 10

TMJ

Open Packed?
Close Packed?

Answer 10

O: Jaw slightly open
C: Max retrusion (mouth closed, teeth clenched) or max anterior position mouth maximally opened

Question 11

SC Joint

Open Packed?
Close Packed?

Answer 11

O: Arm resting by side
C: Arm maximally elevated

Question 12

AC Jt

Open Packed?
Close Packed?

Answer 12

O: Arm resting by side
C: Arm abducted 90deg

Question 13

GH

Open Packed?
Close Packed?

Answer 13

O: 55-70deg abduction; 30deg HADD; neutral rotation
C: Max ABD and ER

Question 14

Humeroulnar

Open Packed?
Close Packed?

Answer 14

O: 70deg flexion, 10deg supination
C: Full extension and supination

Question 15

Humeroradial

Open Packed?
Close Packed?

Answer 15

O: Full extension & supination
C: 90deg flexion, 5deg supination

Question 16

Proximal Radioulnar

Open Packed?
Close Packed?

Answer 16

O: 70deg flexion, 35deg supination
C: 5deg sup, full extension

Question 17

Distal Radioulnar

Open Packed?
Close Packed?

Answer 17

O: 10deg supination
C: 5 deg supination

Question 18

Radio/ulnocarpal

Open Packed?
Close Packed?

Answer 18

O: Neutral w/ slight ulnar deviation
C: full extension w/ radial deviation

Question 19

Midcarpal

Open Packed?
Close Packed?

Answer 19

O: Neutral w/ slight flexion & ulnar deviation
C: Full extension

Question 20

CMC 2-5

Open Packed?
Close Packed?

Answer 20

O: Midway between flexion/extension
C: Full opposition

Question 21

Trapeziometacarpal

Open Packed?
Close Packed?

Answer 21

O: Midway between flexion/extension and between abd/add
C: Full opposition

Question 22

MCP

Open Packed?
Close Packed?

Answer 22

O: First MCP- slight flexion; MCP 2-5- slight flexion w/ ulnar deviation
C: All- full extension

Question 23

IP

Open Packed?
Close Packed?

Answer 23

O: Proximal- 10deg flexion; Distal- 30deg flexion
C: All- full extension

Question 24

Hip

Open Packed?
Close Packed?

Answer 24

O: 30deg flex, 30deg abd, slight ER
C: Ligamentous- full ext, abduction, IR; Bony- 90deg flexion, slight abd, slight ER

Question 25

Knee

Open Packed?
Close Packed?

Answer 25

O: 25deg flexion
C: Full extension, ER

Question 26

Talocrural

Open Packed?
Close Packed?

Answer 26

O: Mid inversion/eversion, 10deg PF
C: Full DF

Question 27

Subtalar

Open Packed?
Close Packed?

Answer 27

O: Midway between extremes of ROM with 10deg PF
C: Full inversion

Question 28

Midtarsal

Open Packed?
Close Packed?

Answer 28

O: Midway between extremes of ROM with 10deg PF
C: Full supination

Question 29

Tarsometatarsal

Open Packed?
Close Packed?

Answer 29

O: Midway between supination/pronation
C: Full supination

Question 30

MTP

Open Packed?
Close Packed?

Answer 30

O: Neutral (extension 10deg)
C: Full extension

Question 31

Toe IP

Open Packed?
Close Packed?

Answer 31

O: Slight flexion
C: Full extension