MSK End Feels, Open/Closed Packed Flashcards
Soft end feel
What?
Normal or Pathological?
Occurs with soft tissue approximation
Normal
Firm
What?
Normal or Pathological?
Capsular and ligamentous stretching
Normal
Hard
What?
Normal or Pathological?
Bone and/or cartilage meet
Normal
Boggy
What?
Normal or Pathological?
Edema/jt swelling
Pathological
Firm with decreased elasticity
What?
Normal or Pathological?
Fibrosis of soft tissues
Pathological
Rubbery
What?
Normal or Pathological?
Muscle spasm
Pathological
Empty
What?
Normal or Pathological?
Loose, then very hard; associated with muscle guarding or pt avoiding painful part of range
Pathological
Hypermobility
What?
Normal or Pathological?
End-feel at later time than on opposite side
Pathological
Vertebral
Open Packed?
Close Packed?
O: Midway between flexion/extension
C: Maximal extension
TMJ
Open Packed?
Close Packed?
O: Jaw slightly open
C: Max retrusion (mouth closed, teeth clenched) or max anterior position mouth maximally opened
SC Joint
Open Packed?
Close Packed?
O: Arm resting by side
C: Arm maximally elevated
AC Jt
Open Packed?
Close Packed?
O: Arm resting by side
C: Arm abducted 90deg
GH
Open Packed?
Close Packed?
O: 55-70deg abduction; 30deg HADD; neutral rotation
C: Max ABD and ER
Humeroulnar
Open Packed?
Close Packed?
O: 70deg flexion, 10deg supination
C: Full extension and supination
Humeroradial
Open Packed?
Close Packed?
O: Full extension & supination
C: 90deg flexion, 5deg supination
Proximal Radioulnar
Open Packed?
Close Packed?
O: 70deg flexion, 35deg supination
C: 5deg sup, full extension
Distal Radioulnar
Open Packed?
Close Packed?
O: 10deg supination
C: 5 deg supination
Radio/ulnocarpal
Open Packed?
Close Packed?
O: Neutral w/ slight ulnar deviation
C: full extension w/ radial deviation
Midcarpal
Open Packed?
Close Packed?
O: Neutral w/ slight flexion & ulnar deviation
C: Full extension
CMC 2-5
Open Packed?
Close Packed?
O: Midway between flexion/extension
C: Full opposition
Trapeziometacarpal
Open Packed?
Close Packed?
O: Midway between flexion/extension and between abd/add
C: Full opposition
MCP
Open Packed?
Close Packed?
O: First MCP- slight flexion; MCP 2-5- slight flexion w/ ulnar deviation
C: All- full extension
IP
Open Packed?
Close Packed?
O: Proximal- 10deg flexion; Distal- 30deg flexion
C: All- full extension
Hip
Open Packed?
Close Packed?
O: 30deg flex, 30deg abd, slight ER
C: Ligamentous- full ext, abduction, IR; Bony- 90deg flexion, slight abd, slight ER
Knee
Open Packed?
Close Packed?
O: 25deg flexion
C: Full extension, ER
Talocrural
Open Packed?
Close Packed?
O: Mid inversion/eversion, 10deg PF
C: Full DF
Subtalar
Open Packed?
Close Packed?
O: Midway between extremes of ROM with 10deg PF
C: Full inversion
Midtarsal
Open Packed?
Close Packed?
O: Midway between extremes of ROM with 10deg PF
C: Full supination
Tarsometatarsal
Open Packed?
Close Packed?
O: Midway between supination/pronation
C: Full supination
MTP
Open Packed?
Close Packed?
O: Neutral (extension 10deg)
C: Full extension
Toe IP
Open Packed?
Close Packed?
O: Slight flexion
C: Full extension