Open & Closed Pack Positions (OP, CP), Capsular Patterns Flashcards
GH joint Open Packed
55 deg abd, 30 deg horizontal add
GH joint Closed Packed
abduction and lateral rotation
GH joint capsular pattern
ER, abd, IR
SC OP
arm resting by side
SC CP
max shoulder elevation
SC capsular pattern
pain at extremes of ranges of movement
AC OP
arm by side
AC CP
abd 90 deg
AC capsular
pain at extremes of ROM
Radiohumeral OP
full ext, supination
Radiohumeral CP
90 deg flx, 5 deg supination
Radiohumeral capsular pattern
flx, ext, supination, pronation
Ulnohumeral OP
70 deg elbow flexion, 10 deg supination
Ulnohumeral CP
extension
Ulnohumeral capsular pattern
flexion, extension
Proximal radioulnar joint OP
70 deg elbow flx, 35 deg supination
Proximal radioulnar joint CP
5 deg supination
Proximal radioulnar capsular pattern
supination, pronation
Radiocarpal OP
neutral with slight ulnar deviation
Radiocarpal CP
extension with radial deviation
Radiocarpal Capsular Pattern
flx and ext equally limited
Facet (spine) OP
midway between flx and ext
facet (spine) CP
extension
TMJ OP
mouth slightly open
TMJ CP
clenched teeth
TMJ capsular pattern
limitation of mouth opening
Distal radioulnar OP
10d supination
Distal radioulnar CP
5d supination
Distal radioulnar capsular pattern
Full ROM, pain at extremes of rotation
carpometacarpal OP
midway between all motions (abd/add, flx/ext)
metacarpophalangeal OP
slight flexion
metacarpophalangeal (fingers) CP
full flexion
metacarpophalangeal (thumb) CP
full opposition
interphalangeal (fingers) OP
slight flexion
interphalangeal (fingers) CP
full extension
Trapeziometacarpal capsular pattern
abduction, extension
metacarpophalangeal and interphalangeal capsular pattern
flexion, extension
alanto-occipital capsular pattern
extension, side flexion equally limited
cervical spine capsular pattern
lateral flexion and rotation equally limited, extension
hip OP
30d flexion, 30d abd, slight ER
hip CP
full extension, medial rotation
hip capsular pattern
flex, abd, medial rotation
knee OP
25d flexion
knee CP
full ext, lateral rotation of tibia
knee capsular pattern
flx, ext
talocrural (ankle) OP
10d plantar flex, midway btwn inversion and eversion
talocrural (ankle) CP
max dorsiflexion
talocrural (ankle) capsular pattern
plantar flex, dorsiflexion
subtalar OP
midway between extremes of ROM
subtalar CP
supination
subtalar (talocalcaneal) capsular pattern
limitation of varus ROM (inversion more limited than eversion)
midtarsal OP
midway between extremes ROM
midtarsal CP
supination
midtarsal capsular pattern
dorsiflexion, plantar flexion, adduction, abduction
tarsometatarsal OP
midway between extremes of ROM
tarsometatarsal CP
supination
metatarsophalangeal OP
neutral
metatarsophalangeal CP
full extension
first metatarsophalangeal capsular pattern
extension, flexion
interphalangeal (toes) OP
slight flexion
interphalangeal (toes) CP
full extension
interphalangeal (toes) capsular pattern
flexion, extension