Open and Closed Packed Positions

Question 1

vertebral column

Answer 1

open - midway between flex/ext

closed - max ext

Question 2

TMJ

Answer 2

open - slightly open

closed - max retrusion (mouth closed w/ teeth clenched) or max anterior position (mouth max opened)

Question 3

sternoclavicular

Answer 3

open - arm resting by side

closed - arm maximally elevated

Question 4

acromioclavicular

Answer 4

open - arm resting by side

closed - arm abducted 90 degrees

Question 5

GH

Answer 5

open - 40-55 degrees ABD, 30 degrees horizontal ADD (scaption)

closed - max ABD and ER

Question 6

humeroulnar

Answer 6

open - 70 flexion and 10 supination

closed - full extension and supination

Question 7

humeroradial

Answer 7

open - full extension and supination

closed - 90 flexion and 5 supination

Question 7

proximal radioulnar

Answer 7

open - 70 flexion and 35 supination

closed - 5 supination

Question 8

distal radioulnar

Answer 8

open - 10 supination

closed - 5 supination

Question 9

radio/ulnocarpal

Answer 9

open - neutral w/ slight ulnar deviation

closed - full extension w/ radial deviation

Question 10

midcarpal

Answer 10

open - neutral or slight flexion w/ ulnar deviation

closed - extension w/ ulnar deviation

Question 11

thumb carpometacarpal

Answer 11

open - midway between ABD/ADD and flex/ext

closed - full opposition

Question 12

fingers 2-5 carpometacarpal

Answer 12

open - midway between flex and ext

closed - full flexion

Question 13

MCP

Answer 13

open - slight flexion

closed - full opposition (thumb), full flexion (fingers)

Question 14

interphalangeal

Answer 14

open - slight flexion

closed - full extension

Question 15

hip

Answer 15

open - 30 flex, 30 ABD, and slight ER

closed - full ext, ABD, IR

Question 16

knee

Answer 16

open - 25 flex

closed - full ext and ER

Question 17

talocrual

Answer 17

open - mid inversion/eversion and 10 PF

closed - full DF

Question 18

subtalar

Answer 18

open - midway between extremes of ROM

closed - full inversion

Question 19

midtarsal

Answer 19

open - midway between extremes of ROM

closed - full supination

Question 20

tarsometatarsal

Answer 20

open - midway between supination/pronation

closed - full supination

Question 21

MTP

Answer 21

open - neutral (ext 10)

closed - full extension

Question 22

IP

Answer 22

open - slight flexion

closed - full extension